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General NPI Number Information
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NPI Number | 1528548195
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Entity Type | Individual
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Provider Name | SHELBY LYNNE BAKER PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 205 MARY HIGGINSON LN
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City | UNIONTOWN
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State | PA
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Zip | 15401-2658
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Country | US
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Telephone | 724-320-0849
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Fax |
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Provider Business Mailing Address
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Address Line | 205 MARY HIGGINSON LN STE 1
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City | UNIONTOWN
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State | PA
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Zip | 15401-2658
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Country | US
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Telephone | 724-320-0849
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA059823
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2266
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License Number State | WV
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