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General NPI Number Information
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NPI Number | 1902317894
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Entity Type | Individual
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Provider Name | MARYANNE BAKER CPCP
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Gender | Female
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 8711 E PINNACLE PEAK RD STE F-113
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3517
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Country | US
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Telephone | 623-810-8558
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Fax |
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Provider Business Mailing Address
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Address Line | 42713 N 14TH ST
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City | NEW RIVER
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State | AZ
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Zip | 85087-0919
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Country | US
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Telephone | 623-810-7557
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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 | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number |
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License Number State |
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