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General NPI Number Information
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NPI Number | 1457878639
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Entity Type | Organization
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Legal Business Name | DEBBIE PARKER LLC
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 01/19/2019
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Provider Practice Location Address
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Address Line | 9505 HULL STREET RD STE D2
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-1475
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Country | US
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Telephone | 804-608-9597
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Fax |
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Provider Business Mailing Address
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Address Line | 9505 HULL STREET RD STE C
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-1475
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Country | US
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Telephone | 804-608-9597
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DEBORAH YVONNE PARKER
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Credential | PHD
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Telephone | 804-523-0475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | VA
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Taxonomy #6
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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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