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General NPI Number Information
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NPI Number | 1871450031
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Entity Type | Individual
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Provider Name | TERENIKA SHANICE BAKER LMBT
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 585 S REILLY RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-5621
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Country | US
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Telephone | 910-633-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 2806 PRIORESS DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-3029
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Country | US
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Telephone | 910-884-6811
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 22927
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License Number State | NC
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