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General NPI Number Information
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NPI Number | 1356344428
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Entity Type | Individual
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Provider Name | DAVID G BAKER MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 5000 AMBASSADOR CAFFERY PKWY PROVINCE BUILDING 1
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City | LAFAYETTE
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State | LA
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Zip | 70508-6984
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Country | US
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Telephone | 337-261-0928
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Fax | 337-233-7773
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Provider Business Mailing Address
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Address Line | 5000 AMBASSADOR CAFFERY PKWY BLDG 1
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City | LAFAYETTE
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State | LA
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Zip | 70508-6984
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Country | US
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Telephone | 337-261-0928
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Fax | 337-233-7773
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L013361
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License Number State | LA
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