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General NPI Number Information
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NPI Number | 1235017922
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Entity Type | Individual
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Provider Name | CYNTHIA L BAKER CHW, MHPS
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 1903 CENTRAL DR STE 301
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City | BEDFORD
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State | TX
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Zip | 76021-5813
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Country | US
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Telephone | 682-345-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 16915 BLAISE TARRACE
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City | SAN ANTONIO
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State | TX
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Zip | 78247
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Country | US
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Telephone | 210-867-4226
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 20655
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 50311-0322
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License Number State | TX
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