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General NPI Number Information
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NPI Number | 1174370100
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Entity Type | Individual
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Provider Name | CARRIE ELIZABETH BAKER APRN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2400 HARBOR BLVD STE 7
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5038
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Country | US
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Telephone | 941-766-5095
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Fax | 941-206-0326
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Provider Business Mailing Address
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Address Line | 2400 HARBOR BLVD STE 7
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5038
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Country | US
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Telephone | 941-766-5095
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Fax | 941-206-0326
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11033707
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11033707
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 9529939
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License Number State | FL
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