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General NPI Number Information
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NPI Number | 1417819046
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Entity Type | Individual
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Provider Name | MASEO PARKER
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Gender | Male
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 7702 E PARHAM RD STE 102
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City | RICHMOND
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State | VA
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Zip | 23294-4366
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Country | US
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Telephone | 703-812-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 YORK RD STE 100
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City | TIMONIUM
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State | MD
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Zip | 21093-2246
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Country | US
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Telephone | 410-823-6408
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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 |
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License Number State | VA
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