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General NPI Number Information
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NPI Number | 1447461876
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Entity Type | Organization
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Legal Business Name | BAKER HALL INC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 180 MARTIN ROAD
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City | LACKAWANNA
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State | NY
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Zip | 14218
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Country | US
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Telephone | 716-828-9751
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Fax |
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Provider Business Mailing Address
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Address Line | 790 RIDGE ROAD
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City | LACKAWANNA
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State | NY
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Zip | 14218-1629
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Country | US
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Telephone |
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Fax | 716-828-9450
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Authorized Official
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Title or Position | CFO/COO
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Name | LAUREL PARZYCH
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Credential |
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Telephone | 716-828-9751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | RID2346VID00A09475
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License Number State | NY
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