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General NPI Number Information
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NPI Number | 1366984510
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Entity Type | Organization
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Legal Business Name | NAOMI BAKER LMFT
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 4431 SE WOODSTOCK BLVD
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City | PORTLAND
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State | OR
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Zip | 97206
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Country | US
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Telephone | 503-343-4948
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 86508
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City | PORTLAND
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State | OR
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Zip | 97286
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Country | US
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Telephone | 562-445-0280
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Fax | 971-275-1469
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Authorized Official
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Title or Position | PROPRIETOR
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Name | NAOMI BAKER
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Credential | LMFT
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Telephone | 562-445-0280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1084
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License Number State | OR
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