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General NPI Number Information
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NPI Number | 1316008204
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Entity Type | Individual
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Provider Name | MARCUS T BAKER CPO/L
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 3050 S CENTER ST STE 120
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City | ARLINGTON
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State | TX
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Zip | 76014-2154
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Country | US
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Telephone | 682-323-5921
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Fax | 682-323-5974
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Provider Business Mailing Address
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Address Line | 3050 S CENTER ST STE 120
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City | ARLINGTON
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State | TX
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Zip | 76014-2154
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Country | US
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Telephone | 682-323-5921
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Fax | 682-323-5974
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | ORT0000000093
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 101
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | PRO0000000069
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 1829
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 332B00000X
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License Number State | MS
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Taxonomy #6
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 335E00000X
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License Number State | MS
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