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General NPI Number Information
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NPI Number | 1538316757
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Entity Type | Organization
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Legal Business Name | BAKER MEDICAL SERVICES INC.
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 37 HIGHWAY 343
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City | NEON
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State | KY
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Zip | 41840
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Country | US
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Telephone | 606-855-4400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 517
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City | NEON
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State | KY
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Zip | 41840-0517
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Country | US
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Telephone | 606-855-4400
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT/OWNER
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Name | DR. BRENDA JOAN BAKER
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Credential | M.D.
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Telephone | 606-855-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29340
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License Number State | KY
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