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General NPI Number Information
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NPI Number | 1760871164
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Entity Type | Individual
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Provider Name | SUSAN BAKER M.S. CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 1215 21ST AVENUE SOUTH, SUITE 6209 VUMC MCE, SOUTH TOWER
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City | NASHVILLE
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State | TN
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Zip | 37232-8718
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Country | US
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Telephone | 615-936-5227
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0000000892
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License Number State | TN
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