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General NPI Number Information
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NPI Number | 1295600088
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Entity Type | Individual
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Provider Name | KATELYN PARKER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 100 TABATHA ST
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City | LEESBURG
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State | GA
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Zip | 31763-4933
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Country | US
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Telephone | 229-436-6992
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 US HIGHWAY 19 S
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City | LEESBURG
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State | GA
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Zip | 31763-4938
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH035788
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License Number State | GA
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