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General NPI Number Information
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NPI Number | 1194215012
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Entity Type | Individual
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Provider Name | CAROL GIBSON-BAKER
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Gender | Female
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 111 UHRIG ST
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City | HILLSBORO
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State | OH
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Zip | 45133-1427
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Country | US
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Telephone | 740-400-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 120 W MAIN ST
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1654
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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