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General NPI Number Information
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NPI Number | 1336136530
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Entity Type | Individual
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Provider Name | ROBERT V BAKER MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 1215 SIDNEY ST SUITE 300
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City | BATESVILLE
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State | AR
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Zip | 72501-7203
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Country | US
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Telephone | 870-793-1126
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Fax | 870-793-1180
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Provider Business Mailing Address
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Address Line | 1215 SIDNEY ST SUITE 300
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City | BATESVILLE
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State | AR
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Zip | 72501-7203
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Country | US
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Telephone | 870-793-1126
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Fax | 870-793-1180
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C5833
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License Number State | AR
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