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General NPI Number Information
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NPI Number | 1477649036
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Entity Type | Individual
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Provider Name | CARMEN KIMBERLY BAKER HUDSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 16233 SYLVESTER RD SW STE G60
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City | BURIEN
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State | WA
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Zip | 98166-3047
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Country | US
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Telephone | 206-988-5724
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Fax | 206-241-4430
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Provider Business Mailing Address
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Address Line | 16233 SYLVESTER RD SW STE G60
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City | BURIEN
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State | WA
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Zip | 98166-3047
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Country | US
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Telephone | 206-988-5724
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Fax | 206-241-4430
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M14637
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 11250182-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD60076645
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | T4936
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD187023
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License Number State | OR
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