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General NPI Number Information
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NPI Number | 1821858549
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Entity Type | Individual
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Provider Name | BETH BAKER NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1700 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1802
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Country | US
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Telephone | 662-292-6112
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Fax |
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Provider Business Mailing Address
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Address Line | 191 ELKWOOD LN
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City | HERNANDO
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State | MS
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Zip | 38632-1270
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Country | US
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Telephone | 662-292-6112
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Fax |
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 3-001709
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License Number State | AL
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