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General NPI Number Information
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NPI Number | 1376805929
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Entity Type | Individual
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Provider Name | JOAN ELIZABETH PARKER P.T.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 2304 TUSCANY DR.
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City | CORINTH
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State | TX
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Zip | 76210-0599
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Country | US
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Telephone | 972-977-1307
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Fax | 610-968-4493
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Provider Business Mailing Address
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Address Line | P.O. BOX 866863
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City | PLANO
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State | TX
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Zip | 75086-6863
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Country | US
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Telephone | 214-497-5684
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Fax | 610-968-4493
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1199260
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License Number State | TX
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