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General NPI Number Information
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NPI Number | 1639738354
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Entity Type | Individual
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Provider Name | MATTHEW BAKER DO
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Gender | Male
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 911 BYPASS RD
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City | PIKEVILLE
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State | KY
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Zip | 41501-1602
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Country | US
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Telephone | 606-430-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 517
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City | NEON
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State | KY
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Zip | 41840-0517
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Country | US
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Telephone | 843-792-2300
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | LL82225
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 06120
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License Number State | KY
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