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General NPI Number Information
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NPI Number | 1568403616
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Entity Type | Individual
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Provider Name | DOROTHY R BAKER RN MSN ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 8726 US HWY 42
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City | FLORENCE
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State | KY
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Zip | 41042
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Country | US
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Telephone | 859-384-2660
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Fax | 859-384-5248
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-384-2660
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Fax | 859-384-5248
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 221135
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1058398
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.07753
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2539P
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License Number State | KY
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