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General NPI Number Information
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NPI Number | 1700977683
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Entity Type | Individual
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Provider Name | SYDNEY LYNN BAKER DPH
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 212 S SUMMIT GRAVES DRUG
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City | ARKANSAS CITY
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State | KS
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Zip | 67005
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Country | US
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Telephone | 620-442-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 N WOODLAND
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City | PONCA CITY
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State | OK
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Zip | 74604
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Country | US
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Telephone | 580-762-3543
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Fax | 580-765-0668
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10973
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License Number State | OK
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