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General NPI Number Information
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NPI Number | 1427232131
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Entity Type | Organization
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Legal Business Name | ERIC J. BAKER, M.D., P.A.
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 26 ROPER CORNERS CIR
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City | GREENVILLE
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State | SC
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Zip | 29615-4833
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Country | US
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Telephone | 864-234-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 26 ROPER CORNERS CIR
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City | GREENVILLE
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State | SC
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Zip | 29615-4833
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Country | US
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Telephone | 864-234-7744
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC J BAKER
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Credential | M.D., P.A.
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Telephone | 864-234-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 14818
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License Number State | SC
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