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General NPI Number Information
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NPI Number | 1255311577
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Entity Type | Individual
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Provider Name | TALIA BAKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 5841 S. MARYLAND AVENUE MC 5030
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City | CHICAGO
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State | IL
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Zip | 60637
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Country | US
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Telephone | 773-702-9046
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Fax |
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Provider Business Mailing Address
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Address Line | 150 HARVESTER DRIVE SUITE 300
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City | BURR RIDGE
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State | IL
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Zip | 60527
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Country | US
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Telephone | 773-702-1061
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Fax | 773-702-0000
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036105167
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 036105167
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License Number State | IL
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