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General NPI Number Information
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NPI Number | 1922190735
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Entity Type | Organization
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Legal Business Name | BOBBI D BAKER MD PA
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 3238 W HIGHWAY 390
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City | PANAMA CITY
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State | FL
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Zip | 32405
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Country | US
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Telephone | 850-914-6551
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Fax | 850-785-9226
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Provider Business Mailing Address
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Address Line | 3238 W HIGHWAY 390
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City | PANAMA CITY
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State | FL
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Zip | 32405
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Country | US
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Telephone | 850-914-6551
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Fax | 850-785-9226
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BOBBI D BAKER
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Credential | M.D.
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Telephone | 850-914-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME59468
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License Number State | FL
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