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General NPI Number Information
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NPI Number | 1982360061
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Entity Type | Individual
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Provider Name | SEAN BALDWIN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 7707 94TH AVE
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-1955
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Country | US
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Telephone | 262-597-1027
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Fax |
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Provider Business Mailing Address
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Address Line | 931 E RUSSELL AVE APT 102
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City | MILWAUKEE
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State | WI
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Zip | 53207-2165
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Country | US
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Telephone | 920-279-6801
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19934-40
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License Number State | WI
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