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General NPI Number Information
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NPI Number | 1194710962
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Entity Type | Individual
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Provider Name | CHRISTOPHER E BAKER L.P.T., DIP. M.D.T.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 2626 JBS PARKWAY B101
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City | ODESSA
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State | TX
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Zip | 79761-1958
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Country | US
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Telephone | 432-550-0422
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Fax | 432-550-4463
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Provider Business Mailing Address
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Address Line | 2626 JBS PARKWAY B101
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City | ODESSA
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State | TX
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Zip | 79761-1958
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Country | US
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Telephone | 432-550-0422
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Fax | 432-550-4463
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1015725
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License Number State | TX
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