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General NPI Number Information
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NPI Number | 1720524739
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Entity Type | Individual
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Provider Name | SARA BAKER
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Gender | Female
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2575 NAVARRA DR UNIT C
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City | CARLSBAD
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State | CA
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Zip | 92009-7082
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Country | US
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Telephone | 442-274-0149
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Fax | 855-393-8092
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Provider Business Mailing Address
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Address Line | 301 N PALM CANYON DR STE 103-1064
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5672
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Country | US
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Telephone | 760-861-1468
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Fax | 855-393-8092
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMF87552
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT105385
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License Number State | CA
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