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General NPI Number Information
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NPI Number | 1831825561
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Entity Type | Individual
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Provider Name | EMMA BAKER
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Gender | Female
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 4565 COMMERCIAL DR STE 105
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City | NICEVILLE
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State | FL
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Zip | 32578-8856
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Country | US
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Telephone | 850-353-2415
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Fax | 850-353-2528
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Provider Business Mailing Address
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Address Line | 1916 REDWOOD AVE
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City | NICEVILLE
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State | FL
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Zip | 32578-9500
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Country | US
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Telephone | 318-787-9995
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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 |
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License Number State |
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