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General NPI Number Information
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NPI Number | 1306393848
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Entity Type | Organization
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Legal Business Name | BAKER COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 120 N COLFAX ST STE 8
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City | WEST POINT
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State | NE
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Zip | 68788-1559
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Country | US
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Telephone | 402-372-9122
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Fax |
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Provider Business Mailing Address
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Address Line | 120 N COLFAX ST. STE 8
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City | WEST POINT
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State | NE
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Zip | 68788
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Country | US
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Telephone | 402-372-9122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHY J BAKER
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Credential | LMHP/CPC
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Telephone | 402-372-9122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2335
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License Number State | NE
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