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General NPI Number Information
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NPI Number | 1629251616
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Entity Type | Individual
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Provider Name | ROBERT J BAKER III AU.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 8831 IMMOKALEE RD
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City | NAPLES
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State | FL
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Zip | 34120
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Country | US
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Telephone | 239-963-0235
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Fax |
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Provider Business Mailing Address
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Address Line | 7301 W COUNTRY CLUB DR N APT 110
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City | SARASOTA
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State | FL
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Zip | 34243-4504
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Country | US
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Telephone | 415-515-0110
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Fax |
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY2203
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License Number State | FL
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