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General NPI Number Information
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NPI Number | 1124144837
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Entity Type | Individual
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Provider Name | JAIME L PARKS MS CCC-A, AU.D.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 3655 W 95TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66206
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Country | US
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Telephone | 913-338-1200
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Fax | 913-338-1205
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Provider Business Mailing Address
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Address Line | 4701 COLLEGE BLVD SUITE 109
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City | LEAWOOD
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State | KS
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Zip | 66211-1934
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Country | US
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Telephone | 913-338-1200
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Fax | 913-338-1205
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 2163
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License Number State | KS
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