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General NPI Number Information
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NPI Number | 1548987795
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Entity Type | Individual
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Provider Name | ANNA MAY BAKER PHD
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Gender | Female
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 127 W ANTRIM DR
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City | GREENVILLE
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State | SC
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Zip | 29607-2505
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Country | US
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Telephone | 864-239-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 101 PERRY BEND CIR APT 108
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City | EASLEY
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State | SC
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Zip | 29640-7206
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Country | US
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Telephone | 954-439-6504
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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