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General NPI Number Information
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NPI Number | 1144806191
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Entity Type | Individual
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Provider Name | JESSICA PARKS LMT, BA, DCM
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Gender | Female
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Dates
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Enumeration Date | 03/21/2021
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 33 ORANGE ST # 4
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City | ASHEVILLE
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State | NC
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Zip | 28801-2328
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Country | US
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Telephone | 828-778-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 33 ORANGE ST # 4
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City | ASHEVILLE
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State | NC
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Zip | 28801-2328
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Country | US
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Telephone | 828-778-0444
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | UO2929
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 05658
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MO4787
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2179
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License Number State | NC
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