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General NPI Number Information
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NPI Number | 1114688421
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Entity Type | Individual
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Provider Name | LAURA BAKER
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Gender | Female
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Dates
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Enumeration Date | 01/08/2022
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 1468 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 212-241-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E 40TH ST APT 15X
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City | NEW YORK
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State | NY
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Zip | 10016-2029
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Country | US
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Telephone | 516-708-3477
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F432195-01
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License Number State | NY
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