Basic Information
Provider Information
NPI: 1396351631
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BALDINGER
FirstName: RACHEL
MiddleName:  
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Credential:  
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Mailing Information
Address1: 5144 BAPTIST RD
Address2: SUITE 220
City: PITTSBURGH
State: PA
PostalCode: 152361720
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1400 LOCUST ST
Address2: SUITE 220
City: PITTSBURGH
State: PA
PostalCode: 152195114
CountryCode: US
TelephoneNumber: 4122328111
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/22/2020
LastUpdateDate: 05/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 09/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XMA061709PAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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