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General NPI Number Information
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NPI Number | 1033487673
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Entity Type | Individual
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Provider Name | JUDITH M PARKER NP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2011
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Last Update Date | 12/11/2011
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Provider Practice Location Address
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Address Line | 570 GRAND ST H 1105
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City | NEW YORK
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State | NY
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Zip | 10002-4379
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Country | US
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Telephone | 212-982-1160
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Fax |
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Provider Business Mailing Address
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Address Line | 570 GRAND STREET H 1105
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City | NEW YORK
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State | NY
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Zip | 10002
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Country | US
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Telephone | 212-982-1160
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F3401711
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License Number State | NY
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