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General NPI Number Information
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NPI Number | 1902816192
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Entity Type | Organization
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Legal Business Name | BAKER CHIROPRACTIC TEAM INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6798 CROSSWINDS DR N
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City | ST PETERSBURG
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State | FL
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Zip | 33710-8603
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Country | US
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Telephone | 727-347-8300
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Fax | 727-347-8301
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Provider Business Mailing Address
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Address Line | 11602 OXFORD ST
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City | SEMINOLE
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State | FL
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Zip | 33772-6510
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Country | US
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Telephone | 727-399-8694
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN P. BAKER
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Credential | D.C.
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Telephone | 727-347-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH-7819
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License Number State | FL
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