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General NPI Number Information
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NPI Number | 1093472417
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Entity Type | Organization
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Legal Business Name | PARKER INTEGRATED MEDICAL AND WELLNESS, PLLC.
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 4709 W PARKER RD STE 440
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City | PLANO
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State | TX
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Zip | 75093-3369
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Country | US
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Telephone | 972-212-5725
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Fax |
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Provider Business Mailing Address
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Address Line | 4709 W PARKER RD STE 440
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City | PLANO
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State | TX
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Zip | 75093-3369
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Country | US
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Telephone | 972-212-5725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARL A SHEPHERD
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Credential | DC
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Telephone | 972-212-5725
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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 |
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License Number State |
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