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General NPI Number Information
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NPI Number | 1225417363
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Entity Type | Individual
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Provider Name | JULIAN PARKES REGISTERED NURSE
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Gender | Male
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 500 E BROWARD BLVD STE 1710
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City | FORT LAUDERDALE
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State | FL
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Zip | 33394-3000
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Country | US
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Telephone | 786-529-7362
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E BROWARD BLVD STE 1710
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City | FORT LAUDERDALE
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State | FL
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Zip | 33394-3000
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Country | US
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Telephone | 786-529-7362
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | EMT540185
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9387237
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License Number State | FL
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