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General NPI Number Information
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NPI Number | 1083878573
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Entity Type | Individual
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Provider Name | EVE JUDITH BAKER L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 72 COTTON MILL HL B-103
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City | BRATTLEBORO
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State | VT
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Zip | 05301-7170
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Country | US
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Telephone | 802-251-6059
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Fax |
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Provider Business Mailing Address
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Address Line | 68 OVERLOOK DR
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City | BRATTLEBORO
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State | VT
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Zip | 05301-4301
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Country | US
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Telephone | 802-251-6059
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0146917-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 26BT00010300
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License Number State | NJ
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