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General NPI Number Information
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NPI Number | 1487092599
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Entity Type | Individual
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Provider Name | CHRISTOPHER BAPTIST D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 22101 MOROSS RD SUITE 335
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City | DETROIT
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State | MI
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Zip | 48236-2148
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Country | US
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Telephone | 313-343-6393
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Fax | 313-343-6394
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Provider Business Mailing Address
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Address Line | 6801 DIXIE HWY STE 134
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City | LOUISVILLE
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State | KY
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Zip | 40258-3952
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Country | US
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Telephone | 313-343-6393
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Fax | 313-343-6394
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901002474
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License Number State | MI
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