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General NPI Number Information
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NPI Number | 1720251705
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Entity Type | Organization
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Legal Business Name | JOAN M BAKER, MD, GYNECOLOGY, PA
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 608B AIRPORT RD
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City | KINSTON
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State | NC
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Zip | 28504-8210
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Country | US
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Telephone | 252-520-0020
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Fax | 252-520-0040
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Provider Business Mailing Address
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Address Line | 608B AIRPORT RD
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City | KINSTON
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State | NC
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Zip | 28504-8210
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Country | US
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Telephone | 252-520-0020
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Fax | 252-520-0040
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOAN M BAKER
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Credential | MD
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Telephone | 252-520-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 24572
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License Number State | NC
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