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NPI 1235278375

NPI 1235278375 : CHRISTENA B BAKER MSW, LIMHP : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1235278375
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTENA B BAKER MSW, LIMHP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/05/2007
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    Last Update Date     |    01/03/2020
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Provider Practice Location Address
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    Address Line         |    4700 VALLEY RD 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68510-4846
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    Country              |    US
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    Telephone            |    402-483-7879
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    Fax                  |    402-898-7750
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Provider Business Mailing Address
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    Address Line         |    4939 S 118TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68137-2213
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    Country              |    US
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    Telephone            |    402-483-7879
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    Fax                  |    402-898-7750
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    2
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    260
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    License Number State |    NE
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