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General NPI Number Information
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NPI Number | 1114942232
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Entity Type | Individual
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Provider Name | CHERYL PARKER PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER 4800 SAND POINT WAY NE M/S W7706
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-1272
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Fax |
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Provider Business Mailing Address
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Address Line | 11550 STONE AVE N 204
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City | SEATTLE
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State | WA
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Zip | 98133-1513
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Country | US
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Telephone | 206-985-8883
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA10004200
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License Number State | WA
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