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General NPI Number Information
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NPI Number | 1851565501
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Entity Type | Individual
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Provider Name | JENICE BAKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 1600 HADDON AVE
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City | CAMDEN
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State | NJ
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Zip | 08103-3101
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Country | US
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Telephone | 856-757-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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Country | US
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Telephone | 484-628-1324
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 239524
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD456526
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA08443400
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License Number State | NJ
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