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General NPI Number Information
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NPI Number | 1174956130
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Entity Type | Individual
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Provider Name | MEREDITH PARKER LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 04/25/2021
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Provider Practice Location Address
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Address Line | 1711 HASTINGS DR
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City | MANSFIELD
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State | TX
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Zip | 76063-3389
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Country | US
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Telephone | 570-817-7136
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 HASTINGS DR
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City | MANSFIELD
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State | TX
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Zip | 76063-3389
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Country | US
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Telephone | 570-817-7136
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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 | PC006996
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180008937
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80842
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License Number State | TX
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