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General NPI Number Information
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NPI Number | 1659403186
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Entity Type | Organization
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Legal Business Name | ROBERT J. BAKER DMD PC
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Dates
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Enumeration Date | 03/11/2007
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Last Update Date | 04/15/2013
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Provider Practice Location Address
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Address Line | 2400 DARLINGTON RD
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City | BEAVER FALLS
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State | PA
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Zip | 15010-1305
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Country | US
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Telephone | 724-847-2860
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Fax | 724-843-8208
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Provider Business Mailing Address
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Address Line | 2400 DARLINGTON RD
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City | BEAVER FALLS
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State | PA
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Zip | 15010-1305
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Country | US
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Telephone | 724-847-2860
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Fax | 724-843-8208
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT JOSEPH BAKER
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Credential | DMD
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Telephone | 724-847-2860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS-030369-L
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License Number State | PA
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