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General NPI Number Information
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NPI Number | 1699495952
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Entity Type | Individual
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Provider Name | LYNNETTE CHRISTINE PARKER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 2900 WATKINS RD
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City | BATTLE CREEK
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State | MI
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Zip | 49015-8604
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Country | US
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Telephone | 269-245-5430
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Fax | 269-245-5431
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Provider Business Mailing Address
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Address Line | 601 JOHN STREET BOX 42
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City | KALAMAZOO
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State | MI
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Zip | 49007
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704209396
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License Number State | MI
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