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General NPI Number Information
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NPI Number | 1770382970
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Entity Type | Individual
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Provider Name | TONSIHA M BALDWIN RN, CHW
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 14214 MASON DR
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City | REDFORD
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State | MI
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Zip | 48239-2986
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Country | US
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Telephone | 313-889-2683
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Fax |
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Provider Business Mailing Address
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Address Line | 14214 MASON DR
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City | REDFORD
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State | MI
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Zip | 48239-2986
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Country | US
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Telephone | 313-889-2683
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 4704277374
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License Number State | MI
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