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General NPI Number Information
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NPI Number | 1912342130
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Entity Type | Individual
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Provider Name | DENISE BALDWIN
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 820 N AMERICAN ST
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City | STOCKTON
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State | CA
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Zip | 95202-1824
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Country | US
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Telephone | 209-865-1469
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 626
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City | GOSHEN
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State | CA
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Zip | 93227-0626
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Country | US
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Telephone | 559-310-9710
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | PT35706
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 113807
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License Number State | CA
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