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General NPI Number Information
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NPI Number | 1417752841
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Entity Type | Individual
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Provider Name | MARILYN EILEEN PARRISH LCSW-S
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1331 FOX HOLLOW RD
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City | KRUM
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State | TX
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Zip | 76249-1516
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Country | US
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Telephone | 435-237-1673
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Fax |
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Provider Business Mailing Address
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Address Line | 1331 FOX HOLLOW RD
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City | KRUM
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State | TX
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Zip | 76249-1516
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Country | US
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Telephone | 435-237-1673
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 66658
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14192125-3501
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License Number State | UT
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