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NPI 1417929555

NPI 1417929555 : FAITH IRENE BAKER MSW, LISW : FPO, FP

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General NPI Number Information
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    NPI Number           |    1417929555
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    Entity Type          |    Individual 
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    Provider Name        |    FAITH IRENE BAKER MSW, LISW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/02/2006
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    Last Update Date     |    04/20/2008
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Provider Practice Location Address
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    Address Line         |    PSC 487 
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    City                 |    FPO
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    State                |    FP
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    Zip                  |    96362
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    Country              |    US
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    Telephone            |    011813116437
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PSC 80 BOX 17356 
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    City                 |    APO
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    State                |    AP
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    Zip                  |    96367
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    Country              |    US
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    Telephone            |    
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    I-0009643
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    License Number State |    OH
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