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General NPI Number Information
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NPI Number | 1508154550
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Entity Type | Individual
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Provider Name | ARTHUR LYNNE BAKER JR. CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 60 HOSPITAL RD
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City | NEWNAN
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State | GA
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Zip | 30263-1210
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Country | US
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Telephone | 404-478-8785
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 BACHELOR ST
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City | EAST POINT
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State | GA
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Zip | 30344-5029
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Country | US
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Telephone | 678-799-2396
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN176653
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License Number State | GA
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