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General NPI Number Information
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NPI Number | 1467186361
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Entity Type | Individual
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Provider Name | JEFFREY THOMAS BAKER OD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 3250 ZEMKE AVE
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City | TAMPA
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State | FL
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Zip | 33621-5023
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Country | US
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Telephone | 827-813-9102
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Fax |
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Provider Business Mailing Address
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Address Line | 3250 ZEMKE AVE
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City | TAMPA
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State | FL
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Zip | 33621-5023
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Country | US
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Telephone | 827-813-9102
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3.003316
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG003916
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License Number State | PA
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