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General NPI Number Information
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NPI Number | 1093875452
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Entity Type | Organization
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Legal Business Name | ALONZO C PARKER PC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 706 CADET CT
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City | LEBANON
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State | TN
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Zip | 37087-2649
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Country | US
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Telephone | 615-453-3911
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Fax | 615-449-4709
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Provider Business Mailing Address
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Address Line | 706 CADET CT
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City | LEBANON
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State | TN
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Zip | 37087-2649
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Country | US
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Telephone | 615-453-3911
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Fax | 615-449-4709
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. ALONZO CARLTON PARKER III
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Credential | LPCMHSP
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Telephone | 615-453-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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