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General NPI Number Information
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NPI Number | 1316119720
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Entity Type | Individual
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Provider Name | CHRISTIE MARIE PARKER LPC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 6250 US 62
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City | HILLSBORO
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State | OH
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Zip | 45133-7582
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Country | US
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Telephone | 937-404-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 6187 MILLER LN
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City | HILLSBORO
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State | OH
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Zip | 45133-9610
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Country | US
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Telephone | 937-402-9691
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Fax | 937-393-6829
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.006488
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.0500563
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License Number State | OH
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