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General NPI Number Information
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NPI Number | 1710161237
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Entity Type | Organization
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Legal Business Name | JOHN E BAKER DPM PA
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 6317 SEALAWN DR
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City | SPRING HILL
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State | FL
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Zip | 34607-2638
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Country | US
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Telephone | 352-597-2223
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Fax | 352-597-2061
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Provider Business Mailing Address
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Address Line | 6317 SEALAWN DR
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City | SPRING HILL
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State | FL
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Zip | 34607-2638
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Country | US
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Telephone | 352-597-2223
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Fax | 352-597-2061
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN E BAKER
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Credential | DPM
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Telephone | 352-597-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PO2324
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License Number State | FL
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