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General NPI Number Information
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NPI Number | 1699488510
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Entity Type | Individual
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Provider Name | CLARA MAE PARSONS REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 1306 ANDERSON
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City | TISHOMINGO
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State | OK
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Zip | 73460-2422
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Country | US
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Telephone | 580-371-7727
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 ANDERSON
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City | TISHOMINGO
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State | OK
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Zip | 73460-2422
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Country | US
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Telephone | 580-371-7727
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | R0046307
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License Number State | OK
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