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General NPI Number Information
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NPI Number | 1952583957
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Entity Type | Individual
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Provider Name | TARRAH MARGARET BAKER MS SLPCCC
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Gender | Female
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 75167 LOWER DIAMOND LN
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City | WALLOWA
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State | OR
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Zip | 97885-8167
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Country | US
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Telephone | 541-886-3302
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Fax | 541-886-3300
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | WALLOWA
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State | OR
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Zip | 97885-0187
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Country | US
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Telephone | 541-886-3302
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Fax | 541-886-3300
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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 | 12764
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License Number State | OR
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