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NPI Code Detail

MEDICARE: MISS JENNIFER LYNN BAKER

MEDICARE: MISS JENNIFER LYNN BAKER
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
1183700000XPharmacy TechnicianVA00046076WA

General Provider Information

NPI Number : 1285613869
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JENNIFER LYNN BAKER
Provider Business Mailing Address
First Line : 11500 PINEHURST WAY NE
Second Line : APT 205
City : SEATTLE
State : WA
Zip : 98125-6342
Country : US
Telephone Number : 206-892-0314
Fax Number :
Provider Business Practice Location Address
First Line : 2222 32ND AVE W
Second Line :
City : SEATTLE
State : WA
Zip : 98199-4044
Country : US
Telephone Number : 206-282-2881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 07/08/2007

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