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General NPI Number Information
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NPI Number | 1669137733
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Entity Type | Individual
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Provider Name | LAURALEE BAIRD CNP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 57932 TOWNSHIP ROAD 105
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City | NEWCOMERSTOWN
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State | OH
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Zip | 43832-9714
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Country | US
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Telephone | 330-407-2755
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Fax |
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Provider Business Mailing Address
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Address Line | 57932 TOWNSHIP ROAD 105
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City | NEWCOMERSTOWN
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State | OH
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Zip | 43832-9714
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Country | US
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Telephone | 330-407-2755
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN334157
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0030165
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License Number State | OH
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