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General NPI Number Information
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NPI Number | 1093954893
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Entity Type | Individual
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Provider Name | BRETT BAKER D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 08/26/2023
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Provider Practice Location Address
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Address Line | 21321 E OCOTILLO RD STE C108
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-7585
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Country | US
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Telephone | 480-677-2800
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Fax | 888-503-3238
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Provider Business Mailing Address
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Address Line | 21321 E OCOTILLO RD STE C108
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-7585
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Country | US
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Telephone | 480-677-2800
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Fax | 888-503-3238
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8038
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License Number State | AZ
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