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General NPI Number Information
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NPI Number | 1619868155
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Entity Type | Individual
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Provider Name | MARY LEANNE BAGINSKI RN
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Gender | Female
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 8 W FAIRFAX LN
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City | WINCHESTER
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State | VA
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Zip | 22601-4814
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Country | US
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Telephone | 540-536-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 18 HUNTINGDON LN
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City | BOYCE
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State | VA
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Zip | 22620-9637
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Country | US
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Telephone | 248-918-7799
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001269829
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License Number State | VA
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