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General NPI Number Information
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NPI Number | 1740097658
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Entity Type | Individual
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Provider Name | KAREN BAKER
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 4501 SPICEWOOD SPRINGS RD STE 1015
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City | AUSTIN
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State | TX
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Zip | 78759-8543
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Country | US
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Telephone | 512-240-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 11400 LADERA VISTA DR
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City | AUSTIN
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State | TX
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Zip | 78759-3912
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 96160
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License Number State | TX
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