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General NPI Number Information
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NPI Number | 1659339430
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Entity Type | Individual
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Provider Name | VERONICA RUIZ BAECHLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 100 W GORE ST STE 405
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City | ORLANDO
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State | FL
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Zip | 32806-1049
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Country | US
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Telephone | 321-841-9340
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Fax | 321-841-9344
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Provider Business Mailing Address
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Address Line | 100 W GORE ST STE 405
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City | ORLANDO
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State | FL
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Zip | 32806-1049
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Country | US
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Telephone | 321-841-9340
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Fax | 321-841-9344
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 01042850A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | ME159642
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License Number State | FL
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