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General NPI Number Information
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NPI Number | 1356975627
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Entity Type | Individual
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Provider Name | JULIE THOMAS PARKS NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 1204 N MAIN ST
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City | MARION
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State | VA
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Zip | 24354-4312
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Country | US
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Telephone | 276-783-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 359 QUARTER BRANCH RD
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City | SUGAR GROVE
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State | VA
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Zip | 24375-3333
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Country | US
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Telephone | 276-243-8772
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024178467
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License Number State | VA
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