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NPI 1659379873

NPI 1659379873 : RAYMOND EDWARD BAKER CRNA : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1659379873
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    Entity Type          |    Individual 
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    Provider Name        |    RAYMOND EDWARD BAKER CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2005
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    920 STANTON L YOUNG BLVD STE 1140 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73104-5036
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    Country              |    US
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    Telephone            |    405-271-4351
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    Fax                  |    405-271-8665
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Provider Business Mailing Address
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    Address Line         |    1407 BORGER ST 
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    City                 |    PLAINVIEW
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    State                |    TX
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    Zip                  |    79072-4735
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    Country              |    US
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    Telephone            |    806-808-2761
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    28124995A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    224196
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    License Number State |    OK
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