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General NPI Number Information
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NPI Number | 1164332136
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Entity Type | Individual
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Provider Name | VERONICA PARKER
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Gender |
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 803 1/2 RYDER AVE
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City | CLARKSBURG
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State | WV
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Zip | 26301
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Country | US
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Telephone | 502-528-1210
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Fax |
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Provider Business Mailing Address
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Address Line | 803 1/2 RYDER AVE
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City | CLARKSBURG
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State | WV
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Zip | 26301
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Country | US
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Telephone | 502-528-1210
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | WV
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