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General NPI Number Information
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NPI Number | 1407778830
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Entity Type | Individual
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Provider Name | MRS. LEAH ELIZABETH BAKER
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 334 SOUTHSIDE RD
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City | BEE BRANCH
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State | AR
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Zip | 72013-9137
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Country | US
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Telephone | 501-654-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 501 RANCH RD
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City | BEE BRANCH
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State | AR
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Zip | 72013-8876
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Country | US
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Telephone |
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 125142
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License Number State | AR
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