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NPI Code Detail

MEDICARE: MRS. MELISSA B BAKER CPHT

MEDICARE: MRS. MELISSA B BAKER CPHT
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 Technician06343NC

General Provider Information

NPI Number : 1629263157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA B BAKER CPHT
Provider Business Mailing Address
First Line : 298 PERKINS RD SE
Second Line :
City : VALDESE
State : NC
Zip : 28690-9403
Country : US
Telephone Number : 828-580-5460
Fax Number : 828-580-5459
Provider Business Practice Location Address
First Line : 3492 SHERWOOD HEIGHTS
Second Line :
City : MORGANTON
State : NC
Zip : 28655
Country : US
Telephone Number : 828-437-5696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 09/07/2007

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