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General NPI Number Information
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NPI Number | 1356323588
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Entity Type | Individual
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Provider Name | LYNDA M PARKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 505 E PALM VALLEY BLVD
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City | ROUND ROCK
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State | TX
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Zip | 78664-3041
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Country | US
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Telephone | 806-433-6940
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Fax |
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Provider Business Mailing Address
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Address Line | 111 HUISACHE CT
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City | GEORGETOWN
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State | TX
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Zip | 78628-4009
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Country | US
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Telephone | 806-433-6940
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Fax | 505-609-2259
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD2019-0023
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 126632
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L1687
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License Number State | TX
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