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General NPI Number Information
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NPI Number | 1285083493
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Entity Type | Individual
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Provider Name | JUNIA BAKER LPC
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Gender | Female
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 535 GRESHAM AVE SE STE A
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City | ATLANTA
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State | GA
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Zip | 30316-1960
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Country | US
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Telephone | 678-492-1390
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Fax |
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Provider Business Mailing Address
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Address Line | 128 VINE ST NW
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City | ATLANTA
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State | GA
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Zip | 30314-4042
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Country | US
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Telephone | 678-492-1390
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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 | LPC010306
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License Number State | GA
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