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General NPI Number Information
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NPI Number | 1700102613
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Entity Type | Individual
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Provider Name | MICHELLE DANIELLE PARKER
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Gender | Female
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 3312 TEASLEY LN STE 100
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City | DENTON
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State | TX
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Zip | 76210-8311
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Country | US
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Telephone | 940-222-2399
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11114
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City | FORT WAYNE
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State | IN
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Zip | 46855-1114
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Country | US
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Telephone | 574-546-1900
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Fax | 574-546-1999
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 89927
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5345
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License Number State | OK
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