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General NPI Number Information
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NPI Number | 1790924553
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Entity Type | Individual
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Provider Name | CARRIE LYNN BAKER CPNP
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Gender | Female
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 3156 DUSTIN RD STE 301
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City | OREGON
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State | OH
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Zip | 43616-4300
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Country | US
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Telephone | 419-698-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 4235 SECOR RD
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City | TOLEDO
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State | OH
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Zip | 43623-4299
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Country | US
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Telephone | 419-473-3561
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Fax | 419-479-5593
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | NP-10484
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License Number State | OH
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