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General NPI Number Information
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NPI Number | 1316944770
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Entity Type | Individual
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Provider Name | KATHLEEN ROSE PARKER RN, PNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 1555 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-4122
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Country | US
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Telephone | 585-368-4012
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Fax | 585-723-7470
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Provider Business Mailing Address
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Address Line | 1555 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-4122
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Country | US
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Telephone | 585-368-4012
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Fax | 585-723-7470
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 380878-1
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License Number State | NY
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