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General NPI Number Information
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NPI Number | 1366670341
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Entity Type | Individual
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Provider Name | MARILYNN PARKER APN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3637 N SOUTHPORT AVE
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City | CHICAGO
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State | IL
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Zip | 60613-3709
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Country | US
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Telephone | 773-348-5282
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CVS DR
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City | WOONSOCKET
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State | RI
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Zip | 02895-6146
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Country | US
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Telephone | 612-225-1534
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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 | 209.007262
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209007262
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License Number State | IL
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