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General NPI Number Information
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NPI Number | 1740709625
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Entity Type | Individual
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Provider Name | REBECCA ANN PARKER APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 14332 STATE HIGHWAY 31 E
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City | BROWNSBORO
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State | TX
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Zip | 75756-6749
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Country | US
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Telephone | 903-852-3663
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Fax |
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Provider Business Mailing Address
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Address Line | 323 FOREST HILLS DR
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City | HALLSVILLE
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State | TX
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Zip | 75650-5022
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Country | US
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Telephone | 903-720-7746
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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 | AP134267
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License Number State | TX
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