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NPI Code Detail

MEDICARE: MS. HOLLY NICOLE BAKER L.AC.

MEDICARE:  MS. HOLLY NICOLE BAKER  L.AC.
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
1171100000XAcupuncturistAC11263CA
2171100000XAcupuncturist0689AZ

General Provider Information

NPI Number : 1427227966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HOLLY NICOLE BAKER L.AC.
Provider Business Mailing Address
First Line : 3131 N COUNTRY CLUB RD
Second Line : SUITE 100
City : TUCSON
State : AZ
Zip : 85716-1649
Country : US
Telephone Number : 619-977-7408
Fax Number :
Provider Business Practice Location Address
First Line : 3131 N COUNTRY CLUB RD
Second Line : SUITE 100
City : TUCSON
State : AZ
Zip : 85716-1649
Country : US
Telephone Number : 619-977-7408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2008
Last Update Date : 09/18/2009

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Directions to “ MS. HOLLY NICOLE BAKER L.AC.” Practice Location

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