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General NPI Number Information
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NPI Number | 1538369731
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Entity Type | Individual
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Provider Name | CHANDRA MIA BAKER MD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2435 FOREST DR
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City | COLUMBIA
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State | SC
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Zip | 29204-2026
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Country | US
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Telephone | 803-256-5850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23321
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City | NEW YORK
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State | NY
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Zip | 10087-4321
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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 |
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MT190917
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 2085R0205X
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Taxonomy Name | Radiological Physics Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #11
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 200800265
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License Number State | NC
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Taxonomy #12
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 95234
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License Number State | SC
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