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General NPI Number Information
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NPI Number | 1871088757
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Entity Type | Individual
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Provider Name | LARA BALDWIN CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2018
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 3921 W SUNSET BLVD FL 2
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City | LOS ANGELES
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State | CA
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Zip | 90029-2241
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Country | US
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Telephone | 646-650-5337
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Fax | 646-871-6820
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Provider Business Mailing Address
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Address Line | 3921 W SUNSET BLVD FL 2
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City | LOS ANGELES
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State | CA
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Zip | 90029-2241
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Country | US
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Telephone | 646-650-5337
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 067880-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 067880-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | NMW236245
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License Number State | CA
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