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NPI 1811493851

NPI 1811493851 : JULIE BALDINGER DO : MONTICELLO, IL

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General NPI Number Information
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    NPI Number           |    1811493851
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    Entity Type          |    Individual 
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    Provider Name        |    JULIE BALDINGER DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/30/2018
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    Last Update Date     |    03/12/2024
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Provider Practice Location Address
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    Address Line         |    1000 MEDICAL CENTER DR 
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    City                 |    MONTICELLO
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    State                |    IL
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    Zip                  |    61856-2116
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    Country              |    US
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    Telephone            |    217-762-2115
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1215 LEE ST # 801210 
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22908-0816
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    Country              |    US
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    Telephone            |    434-924-5314
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    Fax                  |    434-243-4743
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    5101027130
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    036.169097
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    License Number State |    IL
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