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General NPI Number Information
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NPI Number | 1497896005
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Entity Type | Individual
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Provider Name | TAMARA L BAKER RPT
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 10001 NE 1ST ST APT W313
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City | BELLEVUE
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State | WA
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Zip | 98004-5670
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Country | US
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Telephone | 425-890-3989
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 BELLEVUE WAY NE STE 8A856
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City | BELLEVUE
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State | WA
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Zip | 98004-4280
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Country | US
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Telephone | 425-890-3989
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Fax | 425-881-2312
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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 | PT00003899
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT0003899
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License Number State | WA
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