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General NPI Number Information
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NPI Number | 1184823213
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Entity Type | Individual
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Provider Name | EILEEN M BAKER ED.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 08/11/2007
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Provider Practice Location Address
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Address Line | 1800 BAY AVE
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City | LEWES
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State | DE
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Zip | 19958-1859
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Country | US
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Telephone | 302-645-9184
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Fax |
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Provider Business Mailing Address
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Address Line | 20228 WHITEHEAD CIR
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-7005
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Country | US
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Telephone | 302-373-4318
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC0000398
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 6354
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License Number State | DE
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