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General NPI Number Information
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NPI Number | 1073988127
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Entity Type | Organization
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Legal Business Name | RICHARD P BAKER DDS
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 160 S POWER RD
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City | MESA
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State | AZ
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Zip | 85206-5230
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Country | US
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Telephone | 480-985-1910
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Fax | 480-985-1913
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Provider Business Mailing Address
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Address Line | 160 S POWER RD
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City | MESA
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State | AZ
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Zip | 85206-5230
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Country | US
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Telephone | 480-985-1910
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Fax | 480-985-1913
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RICHARD P BAKER
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Credential | DDS
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Telephone | 480-985-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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