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General NPI Number Information
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NPI Number | 1750368288
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Entity Type | Individual
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Provider Name | LESLIE A BAKEN MD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 225 SMITH AVE N STE 300
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City | SAINT PAUL
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State | MN
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Zip | 55102-2592
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Country | US
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Telephone | 651-241-5000
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Fax | 651-241-5511
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Provider Business Mailing Address
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Address Line | 225 SMITH AVE N STE 300
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City | SAINT PAUL
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State | MN
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Zip | 55102-2592
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Country | US
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Telephone | 651-241-5000
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Fax | 651-241-5511
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 29928
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License Number State | MN
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