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General NPI Number Information
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NPI Number | 1710217526
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Entity Type | Individual
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Provider Name | RUTH D BALDWIN LCSW, MSW, BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 12/30/2009
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 2999 RIVER RD W
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City | GOOCHLAND
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State | VA
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Zip | 23063
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Country | US
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Telephone | 804-556-6260
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Fax |
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Provider Business Mailing Address
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Address Line | 3520B MAYLAND CT
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City | RICHMOND
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State | VA
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Zip | 23233-1421
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Country | US
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Telephone | 804-338-6286
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904007270
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License Number State | VA
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