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General NPI Number Information
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NPI Number | 1528244357
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Entity Type | Individual
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Provider Name | RICHARD GERRIT BAKKER MD PHD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 06/12/2011
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Provider Practice Location Address
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Address Line | 3555 OLENTANGY RIVER RD SUITE 1080
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City | COLUMBUS
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State | OH
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Zip | 43214-3912
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Country | US
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Telephone | 614-268-8164
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Fax | 614-268-8406
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Provider Business Mailing Address
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Address Line | 3555 OLENTANGY RIVER RD SUITE 1080
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City | COLUMBUS
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State | OH
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Zip | 43214-3912
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Country | US
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Telephone | 614-268-8164
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Fax | 614-268-8406
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.092140
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.092140
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35.092140
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License Number State | OH
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