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NPI 1144471095

NPI 1144471095 : ELAINE ELIZABETH BAKER PHARM.D. : COEUR D ALENE, ID

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General NPI Number Information
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    NPI Number           |    1144471095
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    Entity Type          |    Individual 
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    Provider Name        |    ELAINE ELIZABETH BAKER PHARM.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/08/2008
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    Last Update Date     |    07/01/2021
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Provider Practice Location Address
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    Address Line         |    915 W EMMA AVE 
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    City                 |    COEUR D ALENE
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    State                |    ID
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    Zip                  |    83814-2531
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    Country              |    US
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    Telephone            |    208-665-1700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4815 N ASSEMBLY ST 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99205-6185
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    Country              |    US
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    Telephone            |    509-434-7000
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    61624
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    61624
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    License Number State |    CA
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