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General NPI Number Information
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NPI Number | 1336245323
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Entity Type | Individual
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Provider Name | MICHAEL N BAAKO MD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3450 FORT MEADE RD SUITE 209
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City | LAUREL
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State | MD
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Zip | 20724-2040
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Country | US
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Telephone | 240-295-0502
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Fax | 240-295-0503
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Provider Business Mailing Address
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Address Line | PO BOX 4737
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City | SILVER SPRING
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State | MD
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Zip | 20914-4737
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Country | US
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Telephone | 240-295-0502
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Fax | 240-295-0503
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0057216
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0006365
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License Number State | DE
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