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General NPI Number Information
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NPI Number | 1184209736
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Entity Type | Organization
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Legal Business Name | BAKER CARDIOLOGY, LLC
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 1255 37TH ST STE D
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City | VERO BEACH
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State | FL
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Zip | 32960-6550
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Country | US
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Telephone | 772-774-7300
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Fax | 772-494-7300
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Provider Business Mailing Address
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Address Line | 1255 37TH ST STE D
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City | VERO BEACH
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State | FL
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Zip | 32960-6550
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Country | US
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Telephone | 772-774-7300
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Fax | 772-494-7300
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SETH BAKER
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Credential | DO
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Telephone | 772-774-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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