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General NPI Number Information
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NPI Number | 1710264072
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Entity Type | Individual
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Provider Name | SETH DEAN BALDWIN OD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 7975 FOUNTAIN MESA RD
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City | FOUNTAIN
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State | CO
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Zip | 80817-1535
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Country | US
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Telephone | 719-573-2020
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Fax | 719-301-4114
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Provider Business Mailing Address
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Address Line | 7975 FOUNTAIN MESA RD
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City | FOUNTAIN
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State | CO
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Zip | 80817-1535
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Country | US
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Telephone | 719-573-2020
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Fax | 719-301-4114
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3757
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7884
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | AZ2193
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License Number State | AZ
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