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General NPI Number Information
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NPI Number | 1780924977
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Entity Type | Organization
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Legal Business Name | CHASE M BAKER, DDS, PLLC
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 02/25/2013
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Provider Practice Location Address
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Address Line | 3515 ELLA BLVD
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City | HOUSTON
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State | TX
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Zip | 77018-6103
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Country | US
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Telephone | 713-682-4406
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Fax |
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Provider Business Mailing Address
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Address Line | 3515 ELLA BLVD
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City | HOUSTON
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State | TX
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Zip | 77018-6103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CHASE BAKER
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Credential | DDS
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Telephone | 713-682-4406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22846
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License Number State | TX
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