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General NPI Number Information
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NPI Number | 1891658415
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Entity Type | Individual
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Provider Name | MEGAN MALIN BAKER RN
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 401 E CHESTNUT ST UNIT 480
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City | LOUISVILLE
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State | KY
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Zip | 40202-5704
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Country | US
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Telephone | 502-217-1792
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Fax | 502-813-6112
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Provider Business Mailing Address
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Address Line | 401 E CHESTNUT ST UNIT 480
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City | LOUISVILLE
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State | KY
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Zip | 40202-5704
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Country | US
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Telephone | 502-217-1792
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Fax | 502-813-6112
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1099201
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License Number State | KY
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