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General NPI Number Information
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NPI Number | 1568722213
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Entity Type | Organization
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Legal Business Name | SHOKO BAKER, LPC, PLLC
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 2500 MCGEE DR SUITE 104
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City | NORMAN
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State | OK
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Zip | 73072-6722
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Country | US
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Telephone | 405-573-9728
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Fax | 405-573-9727
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Provider Business Mailing Address
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Address Line | 2500 MCGEE DR SUITE 104
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City | NORMAN
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State | OK
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Zip | 73072-6722
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Country | US
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Telephone | 405-573-9728
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Fax | 405-573-9727
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Authorized Official
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Title or Position | LPC
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Name | MRS. SHOKO BAKER
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Credential | M.ED.
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Telephone | 405-573-9728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3247
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License Number State | OK
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