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General NPI Number Information
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NPI Number | 1841189446
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Entity Type | Individual
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Provider Name | RILEY JAMES BAKER MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 171 ASHLEY AVE
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City | CHARLESTON
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State | SC
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Zip | 29425-0100
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Country | US
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Telephone | 843-792-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 36 WOODBURY HL
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City | WOODBURY
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State | CT
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Zip | 06798-2961
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Country | US
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Telephone | 203-528-5511
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | LL94988
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License Number State | SC
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