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NPI Code Detail

MEDICARE: RAEANN E BAGGOTT

MEDICARE: RAEANN E BAGGOTT
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
1171M00000XCase Manager/Care CoordinatorOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588352520
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAEANN E BAGGOTT
Provider Business Mailing Address
First Line : 624 MARKET AVE N
Second Line :
City : CANTON
State : OH
Zip : 44702-1017
Country : US
Telephone Number : 330-493-4553
Fax Number : 330-493-3761
Provider Business Practice Location Address
First Line : 624 MARKET AVE N
Second Line :
City : CANTON
State : OH
Zip : 44702-1017
Country : US
Telephone Number : 330-493-4553
Fax Number : 330-493-3761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2023
Last Update Date : 12/09/2025

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Directions to “ RAEANN E BAGGOTT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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