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General NPI Number Information
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NPI Number | 1487368080
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Entity Type | Organization
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Legal Business Name | JONATHAN BAKER ENTERPRISES, LLC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1316 W G ST STE 7
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City | ELIZABETHTON
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State | TN
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Zip | 37643-2898
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Country | US
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Telephone | 423-297-1037
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Fax | 423-297-1038
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Provider Business Mailing Address
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Address Line | 1316 W G ST STE 7
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City | ELIZABETHTON
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State | TN
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Zip | 37643-2898
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Country | US
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Telephone | 423-297-1037
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. JONATHAN D. BAKER
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Credential | PT, DPT
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Telephone | 540-309-3734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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