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General NPI Number Information
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NPI Number | 1730705989
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Entity Type | Individual
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Provider Name | DAVID BRIAN BALDERSON NP
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Gender | Male
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2001 RIVER VIEW AVE TRLR 88
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City | STEVENS POINT
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State | WI
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Zip | 54481-5278
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Country | US
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Telephone | 715-540-0069
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 RIVER VIEW AVE TRLR 88
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City | STEVENS POINT
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State | WI
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Zip | 54481-5278
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Country | US
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Telephone | 715-540-0069
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71015843A
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License Number State | IN
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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 | 38820
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A184177
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F356963-01
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024191927
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 55551
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License Number State | WY
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704420389
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025008147
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License Number State | MO
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 243896
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License Number State | MT
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 61611209
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License Number State | WA
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9884-33
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License Number State | WI
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