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General NPI Number Information
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NPI Number | 1003016593
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Entity Type | Organization
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Legal Business Name | M E PARKER, INC
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 13295 SW 72ND TER
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City | MIAMI
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State | FL
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Zip | 33183-3215
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Country | US
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Telephone | 305-388-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 13295 SW 72ND TER
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City | MIAMI
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State | FL
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Zip | 33183-3215
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Country | US
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Telephone | 305-388-5009
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Fax |
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Authorized Official
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Title or Position | PRESEIDENT
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Name | MARIA E PARKER
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Credential | SPEECH PATHOLOGIST
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Telephone | 305-388-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | SA 4490
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License Number State | FL
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