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General NPI Number Information
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NPI Number | 1700345535
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Entity Type | Individual
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Provider Name | AVIONNA LAVETTE BALDWIN JEFFERSON MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 400 PARNASSUS AVE # A2300
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2202
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Country | US
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Telephone | 866-817-7463
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Fax |
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Provider Business Mailing Address
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Address Line | 1487 SOUTH AVE APT 4
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City | ROCHESTER
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State | NY
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Zip | 14620-2932
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Country | US
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Telephone | 412-651-7149
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A179028
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License Number State | CA
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