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General NPI Number Information
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NPI Number | 1942395504
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Entity Type | Individual
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Provider Name | SUE MARIE BAKER RPH
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 1000 SOUTH AVE
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City | ROCHESTER
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State | NY
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Zip | 14620-2733
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Country | US
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Telephone | 585-341-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 5125 UPPER HOLLEY ROAD
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City | HOLLEY
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State | NY
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Zip | 14470
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Country | US
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Telephone | 585-638-5165
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Fax | 585-395-6022
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 043214-1
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License Number State | NY
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