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General NPI Number Information
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NPI Number | 1790193118
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Entity Type | Individual
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Provider Name | LORETTA PARKER LMFT 105398
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Gender | Female
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 118 LAKESOUTH TER
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City | HOT SPRINGS
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State | AR
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Zip | 71913-7834
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Country | US
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Telephone | 916-837-5228
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Fax | 916-971-1504
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Provider Business Mailing Address
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Address Line | 118 LAKESOUTH TER
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City | HOT SPRINGS
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State | AR
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Zip | 71913-7834
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Country | US
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Telephone | 916-837-5228
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Fax | 916-971-1504
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF 66336
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 105398
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | M2307001
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License Number State | AR
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