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General NPI Number Information
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NPI Number | 1598415200
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Entity Type | Individual
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Provider Name | CONSTANCE CHEROKEE BAKER MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 1001 S 41ST ST E
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City | MUSKOGEE
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State | OK
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Zip | 74403-6253
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Country | US
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Telephone | 918-781-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 948
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City | TAHLEQUAH
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State | OK
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Zip | 74465-0948
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Country | US
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Telephone | 918-453-5000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.49731
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 45207
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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