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General NPI Number Information
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NPI Number | 1215785084
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Entity Type | Individual
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Provider Name | SHEILA DENISE BAKER
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Gender | Female
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Dates
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Enumeration Date | 05/08/2024
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 720 MAIN ST STE C
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City | WOODLAND
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State | CA
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Zip | 95695-6505
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Country | US
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Telephone | 530-666-5038
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Fax |
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Provider Business Mailing Address
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Address Line | 561 DATURA DR
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City | VACAVILLE
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State | CA
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Zip | 95687-8273
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Country | US
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Telephone | 707-470-6280
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 92311
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License Number State | CA
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