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General NPI Number Information
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NPI Number | 1205697547
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Entity Type | Individual
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Provider Name | CECILIA T PARKER APRN
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Gender | Female
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 5147 N 9TH AVE STE 311
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City | PENSACOLA
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State | FL
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Zip | 32504-8770
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Country | US
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Telephone | 850-477-2597
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Fax | 866-939-1533
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Provider Business Mailing Address
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Address Line | 10640 SENEGAL DR
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City | PENSACOLA
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State | FL
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Zip | 32534-7915
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Country | US
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Telephone | 850-266-3503
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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 | 3-001612
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License Number State | AL
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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 | APRN11025986
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License Number State | FL
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