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General NPI Number Information
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NPI Number | 1205512837
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Entity Type | Individual
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Provider Name | BETINA CLARSKY PARENT-CAZEAU MSN, APRN, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 1501 EDGEMORE AVE SUITE B
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 646-334-2166
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 EDGEMORE AVE SUITE B
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 646-334-2166
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11026413
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R241783
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License Number State | MD
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