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General NPI Number Information
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NPI Number | 1558179572
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Entity Type | Organization
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Legal Business Name | BAKER TRANSPORTATION SERVICES LLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 2000 EDGEVIEW WAY APT 714
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City | KNOXVILLE
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State | TN
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Zip | 37918-1776
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Country | US
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Telephone | 813-893-1789
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 EDGEVIEW WAY APT 714
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City | KNOXVILLE
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State | TN
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Zip | 37918-1776
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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 | OWNER
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Name | CRYSTAL ALANNA POTTS
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Credential |
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Telephone | 813-893-1789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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