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General NPI Number Information
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NPI Number | 1649945403
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Entity Type | Individual
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Provider Name | ZACHARY JOSEPH BALDWIN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 472 BROADWAY
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2212
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Country | US
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Telephone | 518-306-5343
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Fax |
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Provider Business Mailing Address
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Address Line | 316 ROUTE 423
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-7336
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Country | US
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Telephone | 518-817-6209
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 067637
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License Number State | NY
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