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General NPI Number Information
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NPI Number | 1023780202
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Entity Type | Individual
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Provider Name | REBECCA L PARSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 2801 FRANCISCAN DR
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City | BRYAN
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State | TX
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Zip | 77802-2544
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Country | US
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Telephone | 979-776-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 7731 JUBILEE TRL
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City | IOLA
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State | TX
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Zip | 77861-4539
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Country | US
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Telephone | 210-249-6633
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1058534
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License Number State | TX
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