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NPI 1194898403

NPI 1194898403 : NANCY E PARKER PHARM.D. : MCLOUD, OK

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General NPI Number Information
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    NPI Number           |    1194898403
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY E PARKER PHARM.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/16/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    407 NORTH HWY 102 
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    City                 |    MCLOUD
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    State                |    OK
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    Zip                  |    74851
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    Country              |    US
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    Telephone            |    405-964-2081
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    Fax                  |    405-964-5968
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Provider Business Mailing Address
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    Address Line         |    407 NORTH HWY 102 
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    City                 |    MCLOUD
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    State                |    OK
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    Zip                  |    74851
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    Country              |    US
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    Telephone            |    405-964-2081
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    Fax                  |    405-964-5968
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    12728
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    License Number State |    OK
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