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General NPI Number Information
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NPI Number | 1114206414
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Entity Type | Organization
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Legal Business Name | BAKER CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 2121 CLIFF DR STE 112
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City | EAGAN
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State | MN
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Zip | 55122-3335
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Country | US
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Telephone | 651-756-1953
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Fax | 866-653-8784
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Provider Business Mailing Address
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Address Line | 2121 CLIFF DR STE 112
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City | EAGAN
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State | MN
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Zip | 55122-3335
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Country | US
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Telephone | 651-756-1953
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Fax | 866-653-8784
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Authorized Official
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Title or Position | OWNER
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Name | DR. MORGAN JEAN BAKER
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Credential | DC
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Telephone | 651-756-1953
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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 | 5043
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License Number State | MN
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