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General NPI Number Information
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NPI Number | 1164626289
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Entity Type | Individual
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Provider Name | JESSICA T BAKER DO
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 833 DURHAM RD
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 215-559-9166
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Fax | 215-910-4584
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Provider Business Mailing Address
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Address Line | 833 DURHAM RD
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City | LANGHORNE
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State | PA
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Zip | 19047-5736
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Country | US
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Telephone | 215-559-9166
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Fax | 215-910-4584
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS013525
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License Number State | PA
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