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General NPI Number Information
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NPI Number | 1083630677
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Entity Type | Individual
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Provider Name | HUSEK H BAEK M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | OPC 371 BOX 39
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City | APO
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State | AP
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Zip | 96271-9001
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Country | US
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Telephone | 315-737-1215
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 444 BOX 94
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City | APO
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State | AP
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Zip | 96297-0001
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Country | US
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Telephone | 821-073-5818
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A77992
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License Number State | CA
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