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General NPI Number Information
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NPI Number | 1043126329
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Entity Type | Individual
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Provider Name | MICHAEL BAKER
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Gender | Male
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 480 E OHIO ST
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City | FARWELL
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State | MI
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Zip | 48622-9339
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Country | US
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Telephone | 253-592-9152
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Fax |
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Provider Business Mailing Address
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Address Line | 4983 RUBY DR
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City | GLADWIN
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State | MI
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Zip | 48624-8922
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 6851119521
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License Number State | MI
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