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General NPI Number Information
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NPI Number | 1528469764
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Entity Type | Organization
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Legal Business Name | BAKER O & P ENTERPRISES, INC.
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 1311 RECORD CROSSING RD
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City | DALLAS
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State | TX
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Zip | 75235-6003
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Country | US
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Telephone | 972-348-5295
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Fax | 972-692-7533
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Provider Business Mailing Address
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Address Line | 1311 RECORD CROSSING RD
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City | DALLAS
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State | TX
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Zip | 75235-6003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | AARON KRATOHVIL
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Credential |
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Telephone | 615-550-8760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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