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General NPI Number Information
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NPI Number | 1750719464
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Entity Type | Organization
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Legal Business Name | DANIEL BAKER MDPC
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 10/28/2013
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Provider Practice Location Address
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Address Line | 65 E 66TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-6112
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Country | US
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Telephone | 516-216-5957
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Fax |
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Provider Business Mailing Address
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Address Line | 65 E 66TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-6112
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Country | US
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Telephone | 516-216-5957
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | FRANK SCANDARIATO
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Credential | CPC
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Telephone | 516-216-5957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 116131
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License Number State | NY
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