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1588832802 NPI number — RAYMOND C BAKER JR DDS

NPI Number: 1588832802
Health Care Provider/Practitioner: RAYMOND C BAKER JR DDS

Information about “1588832802” NPI (RAYMOND C BAKER JR DDS) exists in 1588832802 in HTML format HTML  |  1588832802 in plain Text format TXT  |  1588832802 in PDF (Portable Document Format) PDF  |  1588832802 in an XML format XML  formats.

NPI Number : 1588832802 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588832802",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAKER JR",
    "FirstName": "RAYMOND",
    "MiddleName": "C",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BAKER",
    "OtherFirstName": "RAYMOND",
    "OtherMiddleName": "C",
    "OtherNamePrefix": null,
    "OtherNameSuffix": "JR.",
    "OtherCredential": "DDS INC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1922 THOMSON DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LYNCHBURG",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "434-845-1121",
    "MailingAddressFaxNumber": "434-845-1096",
    "FirstLinePracticeLocationAddress": "1922 THOMSON DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LYNCHBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "434-845-1121",
    "PracticeLocationAddressFaxNumber": "434-845-1096",
    "EnumerationDate": "02/20/2008",
    "LastUpdateDate": "02/20/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "0401004767",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223S0112X",
          "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
          "LicenseNumber": "0438000105",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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