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General NPI Number Information
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NPI Number | 1891948196
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Entity Type | Individual
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Provider Name | NOLI CANTUBA BALDEO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 201 SETON PKWY
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City | ROUND ROCK
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State | TX
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Zip | 78665-8000
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Country | US
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Telephone | 713-441-5114
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Fax | 713-790-6615
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Provider Business Mailing Address
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Address Line | 1401 MEDICAL PKWY BUILDING B, SUITE 220
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City | CEDAR PARK
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State | TX
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Zip | 78613-7763
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Country | US
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Telephone | 512-324-4083
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Fax | 512-324-4717
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | P4285
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License Number State | TX
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