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General NPI Number Information
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NPI Number | 1003025727
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Entity Type | Individual
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Provider Name | CATHERINE CAMPBELL PARKER NP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1662 BONHAM RD
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City | BRISTOL
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State | VA
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Zip | 24201-2090
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Country | US
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Telephone | 276-644-9899
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Fax | 276-644-9978
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Provider Business Mailing Address
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Address Line | 4014 DRAKE CIR
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City | ROANOKE
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State | VA
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Zip | 24019-6729
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Country | US
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Telephone | 540-561-0695
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024082624
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024082624
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License Number State | VA
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