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General NPI Number Information
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NPI Number | 1821946526
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Entity Type | Individual
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Provider Name | JOHN MAX BAKER DC
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Gender | Male
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 105 MAGNOLIA DR STE 2
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City | GEORGETOWN
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State | KY
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Zip | 40324-8046
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Country | US
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Telephone | 502-642-4048
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Fax | 502-642-4410
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Provider Business Mailing Address
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Address Line | 105 MAGNOLIA DR STE 2
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City | GEORGETOWN
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State | KY
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Zip | 40324-8046
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Country | US
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Telephone | 502-642-4048
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Fax | 502-642-4410
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 306554
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License Number State | KY
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