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General NPI Number Information
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NPI Number | 1487345567
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Entity Type | Individual
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Provider Name | HALEY LYNNE BAKER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 632 MORRISON SPRINGS RD STE 302
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City | CHATTANOOGA
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State | TN
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Zip | 37415-3402
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Country | US
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Telephone | 423-778-3358
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Fax |
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Provider Business Mailing Address
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Address Line | 412 HANCOCK RD
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City | JASPER
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State | TN
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Zip | 37347-6196
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Country | US
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Telephone | 423-834-1473
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14866
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License Number State | TN
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