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General NPI Number Information
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NPI Number | 1790806347
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Entity Type | Individual
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Provider Name | MARC LOUIS BAKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 161 GENESEE ST STE 106
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City | AUBURN
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State | NY
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Zip | 13021-3390
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Country | US
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Telephone | 315-567-0540
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Fax | 315-704-1428
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Provider Business Mailing Address
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Address Line | 17 LANSING ST
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City | AUBURN
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State | NY
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Zip | 13021-1983
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Country | US
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Telephone | 315-255-7576
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Fax | 315-702-8393
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 241055
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License Number State | NY
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