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NPI Code Detail

MEDICARE: NANCY BAKER

MEDICARE: NANCY 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
1235Z00000XSpeech-Language PathologistKY3321KY

General Provider Information

NPI Number : 1457684961
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY BAKER
Provider Business Mailing Address
First Line : 436 HOUSTON OAKS DR
Second Line :
City : PARIS
State : KY
Zip : 40361-2704
Country : US
Telephone Number : 606-584-1169
Fax Number : 800-584-1465
Provider Business Practice Location Address
First Line : 436 HOUSTON OAKS DR
Second Line :
City : PARIS
State : KY
Zip : 40361-2704
Country : US
Telephone Number : 606-584-1169
Fax Number : 800-584-1465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2009
Last Update Date : 09/15/2009

Similar Medicare Providers

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Practice Location Address:
436 HOUSTON OAKS DR
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1700016425 — SHIRLEY ADDO
Practice Location Address:
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Practice Location Address:
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PARIS, KY
40361-2704
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Practice Fax: 800-584-1465
1164755369 — SHAMEKIA LESHAE MASON
Practice Location Address:
436 HOUSTON OAKS DR
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40361-2704
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Practice Fax: 800-584-1465

Directions to “ NANCY BAKER ” Practice Location

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