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Individual
MARK ALLEN BAKER
Active
Individual
MARK ALLEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T., O.C.S.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 14488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004140895
AETNA
CA
01
—
094711
HEALTHNET
CA
01
—
21123014675
BEECHSTREET
CA
01
—
827415
FIRST HEALTH AND CCN
CA
01
—
912124601
BLUE CROSS
CA
01
—
PP3950
SAN GABRIEL REGIONAL CENT
CA
01
—
ZZZ01897Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
08/09/2005
Last updated
08/23/2022
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