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General NPI Number Information
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NPI Number | 1508524711
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Entity Type | Individual
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Provider Name | MA'SHAWN PARKER RN
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Gender | Male
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Dates
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Enumeration Date | 12/04/2021
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Last Update Date | 12/04/2021
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Provider Practice Location Address
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Address Line | 12400 DALLAS PKWY
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City | FRISCO
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State | TX
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Zip | 75033-4224
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Country | US
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Telephone | 469-495-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 MONTEBELLO DR
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City | PROSPER
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State | TX
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Zip | 75078-8477
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Country | US
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Telephone | 347-693-8678
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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 | 364SP2800X
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Taxonomy Name | Perioperative Clinical Nurse Specialist
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License Number | 059785
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License Number State | TX
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