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General NPI Number Information
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NPI Number | 1073582185
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Entity Type | Individual
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Provider Name | JOYCE PUCKETT BAKER ANP-C
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 221 13TH AVENUE PL NW SUITE 202
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City | HICKORY
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State | NC
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Zip | 28601-2596
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Country | US
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Telephone | 828-320-2387
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Fax | 828-324-9526
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Provider Business Mailing Address
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Address Line | PO BOX 765
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City | HUNTERSVILLE
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State | NC
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Zip | 28070-0765
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Country | US
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Telephone | 704-896-7915
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Fax | 704-892-4272
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 900394
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License Number State | NC
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