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NPI 1659287811

NPI 1659287811 : DALA BAKER LPN : COVE, AR

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General NPI Number Information
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    NPI Number           |    1659287811
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    Entity Type          |    Individual 
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    Provider Name        |    DALA BAKER LPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2026
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    Last Update Date     |    08/19/2026
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Provider Practice Location Address
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    Address Line         |    6330 HIGHWAY 71 S 
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    City                 |    COVE
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    State                |    AR
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    Zip                  |    71937-9693
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    Country              |    US
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    Telephone            |    870-387-4200
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    Fax                  |    870-387-2058
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Provider Business Mailing Address
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    Address Line         |    170 POLK ROAD 18 
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    City                 |    COVE
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    State                |    AR
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    Zip                  |    71937-9502
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    Country              |    US
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    Telephone            |    870-387-4200
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    Fax                  |    870-387-2058
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    L055787
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    License Number State |    AR
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