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General NPI Number Information
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NPI Number | 1851755698
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Entity Type | Individual
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Provider Name | MICHAEL BAKER
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Gender | Male
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 5115 HARDING PL
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City | NASHVILLE
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State | TN
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Zip | 37211-4100
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Country | US
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Telephone | 615-862-8123
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Fax |
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Provider Business Mailing Address
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Address Line | 8089 LOGAN DR
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City | LA VERGNE
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State | TN
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Zip | 37086-3488
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Country | US
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Telephone | 615-477-0224
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12878
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License Number State | TN
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