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NPI Code Detail

MEDICARE: BAKER ALJAFARI

MEDICARE: BAKER ALJAFARI
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
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1013720267
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAKER ALJAFARI
Provider Business Mailing Address
First Line : 234 E ROBERTS ST
Second Line :
City : SEWARD
State : NE
Zip : 68434-1646
Country : US
Telephone Number : 901-606-6133
Fax Number :
Provider Business Practice Location Address
First Line : 7562 UPTON GREY LN
Second Line :
City : LINCOLN
State : NE
Zip : 68516-5694
Country : US
Telephone Number : 402-904-7433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2025
Last Update Date : 01/30/2025

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Directions to “ BAKER ALJAFARI ” Practice Location

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