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NPI Code Detail

MEDICARE: AMBER GIANINA BALDWIN L.M.T.

MEDICARE: AMBER GIANINA BALDWIN L.M.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist2004031349MO

General Provider Information

NPI Number : 1073540845
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER GIANINA BALDWIN L.M.T.
Provider Business Mailing Address
First Line : 8386 COUNTY ROAD 8820
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-4651
Country : US
Telephone Number : 417-256-5124
Fax Number :
Provider Business Practice Location Address
First Line : 1480 W 8TH ST
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-2010
Country : US
Telephone Number : 417-256-5669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 07/08/2007

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