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General NPI Number Information
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NPI Number | 1306149174
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Entity Type | Organization
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Legal Business Name | BURTON H BAKER MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 2425 EAST ST STE 18
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City | CONCORD
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State | CA
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Zip | 94520-1926
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Country | US
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Telephone | 925-676-7427
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Fax | 925-676-3155
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Provider Business Mailing Address
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Address Line | 2425 EAST ST STE 18
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City | CONCORD
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State | CA
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Zip | 94520-1926
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Country | US
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Telephone | 925-676-7427
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Fax | 925-676-3155
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BURTON H BAKER
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Credential | M.D.
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Telephone | 925-676-7427
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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 | A22979
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License Number State | CA
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