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General NPI Number Information
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NPI Number | 1306410279
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Entity Type | Individual
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Provider Name | MR. EDWARD KARL PARKS
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Gender | Male
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Dates
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Enumeration Date | 05/16/2021
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 6051 N FRESNO ST STE 202
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City | FRESNO
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State | CA
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Zip | 93710-5280
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Country | US
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Telephone | 559-417-7616
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 632
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City | PRATHER
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State | CA
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Zip | 93651-0632
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Country | US
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Telephone | 559-707-7007
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT125178
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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