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General NPI Number Information
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NPI Number | 1245135441
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Entity Type | Individual
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Provider Name | DONEKA KEYAIRA PARKER
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Gender | Female
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 5905 CLERMONT HWY
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City | CLERMONT
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State | GA
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Zip | 30527-2012
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Country | US
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Telephone | 706-973-0051
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Fax |
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Provider Business Mailing Address
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Address Line | 112 COURTLAND ST NE # 1406-C
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City | ATLANTA
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State | GA
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Zip | 30303-2423
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Country | US
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Telephone | 706-973-0051
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Fax | 770-561-4698
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 0213202
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License Number State | GA
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