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General NPI Number Information
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NPI Number | 1376842138
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Entity Type | Individual
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Provider Name | JANNA K BAKER PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/19/2011
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 3017 EAGLE DR
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City | AMMON
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State | ID
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Zip | 83406-1273
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Country | US
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Telephone | 208-607-3775
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Fax | 208-361-6759
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Provider Business Mailing Address
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Address Line | 3017 EAGLE DRIVE, AMMON, ID 83406
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City | AMMON
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State | ID
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Zip | 83406
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Country | US
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Telephone | 208-607-3775
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Fax | 208-361-6759
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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 | PA-1383
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA054823
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License Number State | PA
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