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General NPI Number Information
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NPI Number | 1568831204
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Entity Type | Individual
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Provider Name | HOLLY BAKER MSW
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Gender | Female
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 68-131 E PUKAUA PL
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City | KAMUELA
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State | HI
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Zip | 96743-9769
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Country | US
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Telephone | 808-895-5519
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Fax | 808-887-1015
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Provider Business Mailing Address
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Address Line | 68-131 E PUKAUA PL
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City | KAMUELA
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State | HI
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Zip | 96743-9769
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Country | US
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Telephone | 808-895-5519
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Fax | 808-887-1015
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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 |
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License Number State | HI
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