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General NPI Number Information
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NPI Number | 1427318393
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Entity Type | Individual
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Provider Name | ANDREW R BAKER PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 915 OLENTANGY RIVER RD SUITE 2100
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City | COLUMBUS
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State | OH
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Zip | 43212-3153
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Country | US
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Telephone | 614-293-8566
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Fax | 614-293-9024
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Provider Business Mailing Address
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Address Line | 6365 WINCHESTER BLVD STE A
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-2069
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Country | US
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Telephone | 614-524-4146
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Fax | 614-502-5613
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50.003568
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License Number State | OH
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