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General NPI Number Information
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NPI Number | 1063849206
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Entity Type | Individual
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Provider Name | JAMES BRIAN BAKER RPH
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Gender | Male
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 302 E AVENUE A
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City | SYRACUSE
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State | KS
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Zip | 67878-7098
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Country | US
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Telephone | 620-684-7424
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 WHITELEY DRIVE
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City | WINDSOR
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State | CO
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Zip | 80550
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Country | US
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Telephone | 970-556-5331
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-11335
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13606
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14070
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License Number State | CO
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