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General NPI Number Information
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NPI Number | 1205861093
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE BAKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 2930 FORESTVILLE RD
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City | RALEIGH
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State | NC
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Zip | 27616-8774
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Country | US
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Telephone | 919-235-6550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 602195
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City | CHARLOTTE
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State | NC
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Zip | 28260-2195
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Country | US
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Telephone | 919-350-0351
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Fax | 919-350-7687
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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 | 2022-02170
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License Number State | NC
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