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General NPI Number Information
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NPI Number | 1356826598
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Entity Type | Individual
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Provider Name | TIMOTHY N BAKER PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 1651 ONEIDA ST
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City | UTICA
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State | NY
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Zip | 13501-4866
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Country | US
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Telephone | 315-793-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1729 BURRSTONE RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-1001
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Country | US
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Telephone | 315-798-1508
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Fax | 315-798-1403
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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