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General NPI Number Information
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NPI Number | 1780816736
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Entity Type | Individual
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Provider Name | LEIGH BALDWIN FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 224 POWELL ST
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City | HENDERSON
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State | KY
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Zip | 42420-3529
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Country | US
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Telephone | 615-509-5145
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Fax |
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Provider Business Mailing Address
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Address Line | 224 POWELL ST
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City | HENDERSON
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State | KY
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Zip | 42420-3529
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Country | US
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Telephone | 615-509-5145
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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 | 71003057A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 28126755A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71003057A
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License Number State | IN
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