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General NPI Number Information
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NPI Number | 1578783858
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Entity Type | Individual
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Provider Name | LILLIAN BARICEVIC BAKER DMD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11 POTTERSVILLE ROAD
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City | POTTERSVILLE
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State | NJ
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Zip | 07979-0291
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Country | US
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Telephone | 908-439-3181
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Fax | 908-439-3191
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Provider Business Mailing Address
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Address Line | PO BOX 291 11 POTTERSVILLE ROAD
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City | POTTERSVILLE
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State | NJ
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Zip | 07979-0291
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Country | US
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Telephone | 908-439-3181
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Fax | 908-439-3191
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI20398
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License Number State | NJ
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