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General NPI Number Information
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NPI Number | 1942630884
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Entity Type | Organization
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Legal Business Name | DR. MELVA L. BAKER PODIATRY, PC
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 928 BROADWAY STE 904
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City | NEW YORK
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State | NY
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Zip | 10010-8120
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Country | US
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Telephone | 646-783-9491
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Fax | 212-369-7850
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Provider Business Mailing Address
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Address Line | 159 E 103RD ST SUITE 2G
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City | NEW YORK
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State | NY
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Zip | 10029-5341
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Country | US
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Telephone | 646-345-1253
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. MELVA L. BAKER
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Credential | D.P.M.
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Telephone | 646-345-1253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 00637
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License Number State | NY
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