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General NPI Number Information
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NPI Number | 1417603176
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Entity Type | Organization
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Legal Business Name | PARKER CLINICAL SERVICES PLLC
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 17015 KENTON DR STE 203
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City | CORNELIUS
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State | NC
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Zip | 28031-5561
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Country | US
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Telephone | 704-380-0879
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Fax | 704-659-4153
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Provider Business Mailing Address
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Address Line | 17015 KENTON DR STE 203
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City | CORNELIUS
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State | NC
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Zip | 28031-5561
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAURA LEE PARKER
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Credential |
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Telephone | 919-709-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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