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General NPI Number Information
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NPI Number | 1124178512
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Entity Type | Individual
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Provider Name | HUBERT WAYNE PARKER MS, NCC, LPC
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 322 UNIVERSITY DR
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City | STARKVILLE
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State | MS
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Zip | 39759-2955
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Country | US
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Telephone | 662-338-1880
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 117
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City | PHEBA
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State | MS
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Zip | 39755-0117
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Country | US
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Telephone | 662-386-7854
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1253
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License Number State | MS
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