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General NPI Number Information
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NPI Number | 1114506680
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Entity Type | Individual
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Provider Name | JOSEPH BASIL BAKEER
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Gender | Male
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Dates
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Enumeration Date | 04/03/2021
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 4300 W 7TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5484
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Country | US
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Telephone | 501-257-5866
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Fax | 501-257-5817
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Provider Business Mailing Address
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Address Line | 4300 W 7TH ST RM 6A116
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-5866
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Fax | 501-257-5817
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | MD.48281
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | E-19626
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License Number State | AR
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