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General NPI Number Information
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NPI Number | 1932360450
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Entity Type | Individual
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Provider Name | MARY S BAKER MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 5801 BREMO RD # 209
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City | RICHMOND
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State | VA
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Zip | 23226-1907
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Country | US
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Telephone | 804-281-8210
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Fax | 804-410-4616
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Provider Business Mailing Address
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Address Line | 1419 N VEAUX LOOP
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City | NORFOLK
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State | VA
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Zip | 23509-1259
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Country | US
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Telephone | 757-353-8122
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Fax | 757-261-0173
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0101257165
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01067684
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0101257165
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD2023-1245
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License Number State | NM
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