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General NPI Number Information
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NPI Number | 1992420566
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Entity Type | Organization
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Legal Business Name | BAXTER PHYSICIAN SERVICES, PLLC
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 682 COUNTY ROAD 32900
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City | PARIS
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State | TX
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Zip | 75460-0806
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Country | US
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Telephone | 602-300-5659
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Fax |
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Provider Business Mailing Address
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Address Line | 682 COUNTY ROAD 32900
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City | PARIS
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State | TX
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Zip | 75460-0806
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. KATHY BAXTER
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Credential | FNP
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Telephone | 602-300-5659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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