MEDICARE: RACHEL BAKER RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DN004422	PA

General Provider Information

NPI Number	:	1235513581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BAKER RD

Provider Business Mailing Address
First Line	:	250 BROADMOOR AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-2574
Country	:	US
Telephone Number	:	412-852-3737
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 BROADMOOR AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-2574
Country	:	US
Telephone Number	:	412-852-3737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2015
Last Update Date	:	07/16/2015

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