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NPI Code Detail

MEDICARE: ANGELA BAKER

MEDICARE: ANGELA 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
1390200000XStudent in an Organized Health Care Education/Training Program01025LMD

General Provider Information

NPI Number : 1932502580
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA BAKER
Provider Business Mailing Address
First Line : 1515 O ST NW
Second Line : APT. 204
City : WASHINGTON
State : DC
Zip : 20005-5510
Country : US
Telephone Number : 505-250-2294
Fax Number :
Provider Business Practice Location Address
First Line : 7525 CARROLL AVE
Second Line :
City : TAKOMA PARK
State : MD
Zip : 20912-5715
Country : US
Telephone Number : 301-270-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2014
Last Update Date : 09/26/2014

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Directions to “ ANGELA BAKER ” Practice Location

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