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General NPI Number Information
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NPI Number | 1497579957
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Entity Type | Individual
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Provider Name | AALIYAH PAIGE HOO KIM- BAKER RN
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 301 COLUMBIA RD
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City | DORCHESTER
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State | MA
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Zip | 02121-3409
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Country | US
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Telephone | 617-237-6838
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Fax |
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Provider Business Mailing Address
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Address Line | 191-205 PARKINGWAY
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City | QUINCY
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State | MA
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Zip | 02169
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Country | US
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Telephone | 617-820-5968
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2269028
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | RN2385984
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License Number State | MA
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