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General NPI Number Information
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NPI Number | 1407246630
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Entity Type | Individual
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Provider Name | HOLLY J BAKER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 1901 FLOYD ST
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City | SARASOTA
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State | FL
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Zip | 34239-2932
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Country | US
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Telephone | 941-366-9222
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Fax | 941-365-2269
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Provider Business Mailing Address
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Address Line | 13510 SAW PALM CREEK TRL
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City | BRADENTON
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State | FL
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Zip | 34211-2610
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Country | US
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Telephone | 716-622-2166
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Fax | 941-365-2269
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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 | 023494-1
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License Number State | NY
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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 | PA9117261
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License Number State | FL
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