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General NPI Number Information
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NPI Number | 1972279768
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH BALDRIDGE BSRN, CNM
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Gender | Female
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 10760 W 143RD STR SUITE 69
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City | ORLAND PARK
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State | IL
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Zip | 60462
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Country | US
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Telephone | 708-403-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 24108 S 80TH AVE
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City | FRANKFORT
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State | IL
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Zip | 60423-8769
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Country | US
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Telephone | 708-921-4764
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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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 | 09000482A
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License Number State | IN
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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 | 209.031127
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License Number State | IL
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