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General NPI Number Information
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NPI Number | 1710918297
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Entity Type | Organization
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Legal Business Name | BAKER FOOT SOLUTIONS CORP
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 8880 FITNESS LN
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City | FISHERS
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State | IN
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Zip | 46037-8231
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Country | US
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Telephone | 317-585-8940
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Fax | 317-585-8942
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Provider Business Mailing Address
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Address Line | PO BOX 330
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City | FORTVILLE
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State | IN
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Zip | 46040-0330
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Country | US
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Telephone | 317-863-2556
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Fax | 317-203-0420
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | DR. MICHAEL J BAKER
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Credential | D.P.M.
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Telephone | 317-863-2556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 07000796A
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License Number State | IN
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