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General NPI Number Information
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NPI Number | 1285885947
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Entity Type | Individual
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Provider Name | NANCY JEAN PARKER L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 126A E WASHINGTON ST
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City | WEST BEND
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State | WI
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Zip | 53095-2578
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Country | US
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Telephone | 414-324-5045
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Fax |
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Provider Business Mailing Address
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Address Line | 9433 N 49TH ST
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City | BROWN DEER
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State | WI
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Zip | 53223-6452
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Country | US
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Telephone | 414-324-5045
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3368-125
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License Number State | WI
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