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NPI 1912261850

NPI 1912261850 : JOSEPH SPENCER BAKER DPM : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1912261850
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH SPENCER BAKER DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/26/2012
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    Last Update Date     |    09/30/2024
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Provider Practice Location Address
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    Address Line         |    2308 N ROSEMONT BLVD 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85712-2139
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    Country              |    US
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    Telephone            |    520-886-1176
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    Fax                  |    520-290-8894
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Provider Business Mailing Address
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    Address Line         |    2308 N ROSEMONT BLVD 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85712-2139
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    Country              |    US
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    Telephone            |    520-886-1176
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    Fax                  |    520-290-8894
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    0837
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    License Number State |    AZ
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