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General NPI Number Information
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NPI Number | 1548246226
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Entity Type | Individual
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Provider Name | JANICE KAYE BAKER DO
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 3705 UTICA RIDGE RD
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City | BETTENDORF
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State | IA
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Zip | 52722-1655
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Country | US
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Telephone | 563-324-8160
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Fax | 563-324-8486
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Provider Business Mailing Address
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Address Line | PO BOX 2441
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City | DAVENPORT
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State | IA
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Zip | 52809-2441
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Country | US
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Telephone | 563-324-8160
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Fax | 563-324-8486
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 02219
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License Number State | IA
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