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Individual
ALEX WADE BAKER
Active
Individual
ALEX WADE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1635
AR
363A00000X
Physician Assistant
Primary
PA-536
AR
363A00000X
Physician Assistant
PA9110930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201627795
—
AR
Enumeration date
02/08/2014
Last updated
09/16/2022
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