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General NPI Number Information
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NPI Number | 1871536151
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Entity Type | Individual
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Provider Name | MARK A BAKER DO
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 6957 W PLANO PKWY STE 1100
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City | PLANO
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State | TX
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Zip | 75093-1621
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Country | US
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Telephone | 972-395-7533
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Fax | 972-395-7536
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Provider Business Mailing Address
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Address Line | 6957 W PLANO PKWY STE 1100
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City | PLANO
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State | TX
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Zip | 75093-1621
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Country | US
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Telephone | 972-395-7533
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Fax | 972-395-7536
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E6221
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License Number State | TX
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