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NPI 1386154763

NPI 1386154763 : BRIANNA MARI PARKER SLP-CF : AVONDALE, AZ

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General NPI Number Information
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    NPI Number           |    1386154763
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    Entity Type          |    Individual 
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    Provider Name        |    BRIANNA MARI PARKER SLP-CF
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/11/2017
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    Last Update Date     |    09/12/2025
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Provider Practice Location Address
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    Address Line         |    11650 W WHYMAN AVE 
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    City                 |    AVONDALE
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    State                |    AZ
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    Zip                  |    85323-8461
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    Country              |    US
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    Telephone            |    623-478-4400
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    Fax                  |    623-478-4598
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Provider Business Mailing Address
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    Address Line         |    9130 W RAYMOND ST 
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    City                 |    TOLLESON
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    State                |    AZ
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    Zip                  |    85353
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    Country              |    US
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    Telephone            |    623-210-9144
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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        |    2355S0801X
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    Taxonomy Name        |    Speech-Language Assistant
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    License Number       |    SLPA10711
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    TSLP10711
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    License Number State |    AZ
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