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General NPI Number Information
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NPI Number | 1639457328
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Entity Type | Individual
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Provider Name | TASHA LYNN PARKER LSCSW
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Gender | Female
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Dates
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Enumeration Date | 07/28/2011
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Last Update Date | 10/26/2018
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Provider Practice Location Address
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Address Line | 650 N CARRIAGE PKWY STE 135
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City | WICHITA
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State | KS
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Zip | 67208-4514
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Country | US
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Telephone | 316-927-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 5517 PLAZA LN
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City | WICHITA
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State | KS
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Zip | 67208-4154
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Country | US
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Telephone | 316-650-9285
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8116
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License Number State | KS
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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 | 4311
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License Number State | KS
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