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General NPI Number Information
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NPI Number | 1710550959
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Entity Type | Individual
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Provider Name | REBECCA SUE BAKER PT,DPT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 720 MAIN STREET
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City | HOXIE
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State | KS
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Zip | 67740-6774
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Country | US
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Telephone | 402-360-2017
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Fax |
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Provider Business Mailing Address
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Address Line | 1070 S ROAD 10 W
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City | HOXIE
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State | KS
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Zip | 67740-4500
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Country | US
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Telephone | 402-360-2017
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-05735
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License Number State | KS
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