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General NPI Number Information
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NPI Number | 1831683465
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Entity Type | Individual
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Provider Name | MICHAEL C BAKER FNP
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Gender | Male
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 8426 E LINCOLN DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-5728
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Country | US
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Telephone | 928-428-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 8426 E LINCOLN DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-5728
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Country | US
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Telephone | 480-586-8441
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP11413
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP11413
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License Number State | AZ
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