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General NPI Number Information
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NPI Number | 1306778303
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Entity Type | Individual
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Provider Name | PARKER RISING-EVANS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 1799 N LAKES PL
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City | MERIDIAN
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State | ID
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Zip | 83646-1833
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Country | US
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Telephone | 208-888-5905
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Fax |
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Provider Business Mailing Address
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Address Line | 304 W BUCK CT
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City | KUNA
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State | ID
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Zip | 83634-3321
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Country | US
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Telephone | 208-440-5694
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8481610
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License Number State | ID
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