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General NPI Number Information
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NPI Number | 1598231912
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Entity Type | Organization
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Legal Business Name | BALDRIDGE GROUP LLC
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1130 FM 1189 STE 109
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City | BROCK
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State | TX
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Zip | 76066-3542
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Country | US
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Telephone | 817-609-4992
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Fax | 817-599-6080
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Provider Business Mailing Address
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Address Line | 151 ROCKHOUSE DR
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City | ALEDO
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State | TX
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Zip | 76008-6010
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Country | US
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Telephone | 817-903-2964
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVE ROGERS BALDRIDGE
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Credential | RPH
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Telephone | 817-903-2964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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