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General NPI Number Information
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NPI Number | 1205766334
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Entity Type | Individual
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Provider Name | RYAN BAKER DPT
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Gender | Male
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Dates
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Enumeration Date | 05/20/2026
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Last Update Date | 05/20/2026
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Provider Practice Location Address
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Address Line | 751 E 36TH AVE STE 104
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City | ANCHORAGE
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State | AK
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Zip | 99503-4166
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Country | US
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Telephone | 907-929-9009
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 W 30TH AVE
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City | ANCHORAGE
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State | AK
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Zip | 99503-3703
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Country | US
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Telephone |
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 250711
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License Number State | AK
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