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General NPI Number Information
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NPI Number | 1649252297
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Entity Type | Individual
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Provider Name | BRIDGETTE M BAKER RNC, CNM, WHNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1333 W 5TH ST STE 210
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City | SHERIDAN
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State | WY
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Zip | 82801-2752
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Country | US
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Telephone | 307-672-2522
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Fax | 307-672-3732
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Provider Business Mailing Address
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Address Line | 1333 W 5TH ST, STE 110
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City | SHERIDAN
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State | WY
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Zip | 82801-2752
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Country | US
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Telephone | 307-672-2522
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Fax | 307-672-3732
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 12008.111
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License Number State | WY
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