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General NPI Number Information
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NPI Number | 1891123667
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Entity Type | Individual
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Provider Name | REGINA BAITY NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/14/2013
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 940 GOLF HOUSE CT E
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City | WHITSETT
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State | NC
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Zip | 27377-9296
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Country | US
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Telephone | 336-499-9848
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Fax |
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Provider Business Mailing Address
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Address Line | 520 N ELAM AVE
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City | GREENSBORO
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State | NC
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Zip | 27403-1127
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Country | US
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Telephone | 336-547-1792
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 217002
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License Number State | NC
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