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General NPI Number Information
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NPI Number | 1669699989
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Entity Type | Individual
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Provider Name | ELIZABETH ANN PARKER ACSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 610 JONES FERRY RD SUITE 208
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City | CARRBORO
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State | NC
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Zip | 27510-6113
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Country | US
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Telephone | 919-636-5695
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Fax | 919-442-1105
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Provider Business Mailing Address
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Address Line | 200 MCGREGOR WOODS RD
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8998
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Country | US
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Telephone | 919-933-9841
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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 | C000201
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License Number State | NC
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