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General NPI Number Information
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NPI Number | 1346519402
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Entity Type | Individual
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Provider Name | TAMMIE BAKER RPH
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Gender | Female
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 08/03/2019
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Provider Practice Location Address
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Address Line | 5040 COMMONWEALTH DR
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City | SARASOTA
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State | FL
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Zip | 34242-1400
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Country | US
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Telephone | 941-564-5742
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Fax | 888-900-6697
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Provider Business Mailing Address
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Address Line | 5040 COMMONWEALTH DR
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City | SARASOTA
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State | FL
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Zip | 34242-1400
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Country | US
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Telephone |
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Fax | 888-900-6697
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS29001
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License Number State | FL
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