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General NPI Number Information
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NPI Number | 1407666902
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Entity Type | Individual
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Provider Name | KIMBERLY BAKER PLPC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 705 E LAHARPE ST STE C
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City | KIRKSVILLE
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State | MO
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Zip | 63501-4526
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Country | US
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Telephone | 660-988-9669
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Fax | 660-280-2965
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Provider Business Mailing Address
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Address Line | PO BOX 924
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City | KIRKSVILLE
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State | MO
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Zip | 63501-0924
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Country | US
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Telephone | 660-988-9669
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Fax | 888-414-6717
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2025007720
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License Number State | MO
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