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General NPI Number Information
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NPI Number | 1689517823
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Entity Type | Individual
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Provider Name | LOLA BOOKER
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Gender | Female
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 130 CALO LN
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City | LAKE OZARK
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State | MO
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Zip | 65049-9208
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Country | US
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Telephone | 573-745-5253
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Fax |
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Provider Business Mailing Address
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Address Line | 222 W 3RD ST
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City | ELDON
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State | MO
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Zip | 65026-1538
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Country | US
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Telephone | 573-693-8052
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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