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General NPI Number Information
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NPI Number | 1619069523
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Entity Type | Organization
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Legal Business Name | BAKER EAR NOSE & THROAT ASSOCIATES PLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 4175 N EUCLID SUITE 10
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City | BAY CITY
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State | MI
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Zip | 48706
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Country | US
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Telephone | 989-684-4400
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Fax | 989-684-0560
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Provider Business Mailing Address
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Address Line | 4175 N EUCLID SUITE 10
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City | BAY CITY
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State | MI
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Zip | 48706
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Country | US
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Telephone | 989-684-4400
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Fax | 989-684-0560
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT A BAKER
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Credential | MD
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Telephone | 989-684-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4301053017
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License Number State | MI
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