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General NPI Number Information
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NPI Number | 1326257684
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Entity Type | Organization
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Legal Business Name | JEFFREY H BAKER, MD, PC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 05/07/2011
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Provider Practice Location Address
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Address Line | 724 S ATHERTON ST SUITE 200
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City | STATE COLLEGE
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State | PA
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Zip | 16801-4628
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Country | US
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Telephone | 814-867-0717
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Fax | 814-867-0464
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Provider Business Mailing Address
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Address Line | 724 S ATHERTON ST SUITE 200
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City | STATE COLLEGE
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State | PA
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Zip | 16801-4628
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Country | US
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Telephone | 814-867-0717
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Fax | 814-867-0464
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY HOPKINS BAKER
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Credential | MD
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Telephone | 814-867-0717
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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 | MD-029272E
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License Number State | PA
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