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General NPI Number Information
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NPI Number | 1467776526
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Entity Type | Individual
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Provider Name | PRISCILLA PARKER LPC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 750 S CHURCH ST
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City | SPARTANBURG
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State | SC
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Zip | 29306-5348
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Country | US
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Telephone | 864-582-2411
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Fax | 864-582-7179
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Provider Business Mailing Address
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Address Line | 553 NEW HOPE RD
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City | RUTHERFORDTON
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State | NC
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Zip | 28139-7376
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Country | US
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Telephone | 828-748-6588
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7719
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7399
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License Number State | SC
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