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General NPI Number Information
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NPI Number | 1285977561
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Entity Type | Individual
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Provider Name | LORI JEAN BAKER MS-LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 2 SE LEE BLVD
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City | LAWTON
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State | OK
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Zip | 73501-2409
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Country | US
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Telephone | 580-355-0072
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Fax |
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Provider Business Mailing Address
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Address Line | 118 N MAIN ST
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City | ALTUS
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State | OK
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Zip | 73521-3102
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Country | US
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Telephone | 580-649-2087
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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 | 1211
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License Number State | OK
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