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General NPI Number Information
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NPI Number | 1992691778
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Entity Type | Individual
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Provider Name | BALDWIN P LEE LMT
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Gender | Male
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 701 METAIRIE RD
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City | METAIRIE
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State | LA
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Zip | 70005-4050
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Country | US
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Telephone | 504-832-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 4657 CHANTILLY DR
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City | NEW ORLEANS
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State | LA
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Zip | 70126-4157
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Country | US
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Telephone | 504-473-7113
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | LA10157
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License Number State | LA
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