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General NPI Number Information
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NPI Number | 1326165077
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Entity Type | Individual
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Provider Name | MICHELE KAY BAKER CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 231 E CHESTNUT ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1821
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Country | US
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Telephone | 502-629-6000
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Fax | 502-451-4553
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Provider Business Mailing Address
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Address Line | PO BOX 713350
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City | CHICAGO
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State | IL
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Zip | 60677-1392
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Country | US
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Telephone | 502-559-9529
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Fax | 502-272-5116
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | COA.08144-NA
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3008662
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License Number State | KY
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