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General NPI Number Information
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NPI Number | 1932911807
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Entity Type | Individual
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Provider Name | SYDNEY BAKER PHD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 792 CHIMNEY ROCK RD STE C
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City | MARTINSVILLE
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State | NJ
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Zip | 08836-2271
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Country | US
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Telephone | 908-333-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 430 HAMILTON ST APT D
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City | SOMERSET
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State | NJ
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Zip | 08873-5537
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 243-099
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License Number State | NJ
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