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General NPI Number Information
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NPI Number | 1801535075
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Entity Type | Individual
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Provider Name | PARKER LEE DAILEY NP-C
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Gender | Male
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 11922 NOLAND ST
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2376
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Country | US
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Telephone | 712-579-9646
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Fax |
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Provider Business Mailing Address
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Address Line | 6750 ANTIOCH RD STE 307
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City | MERRIAM
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State | KS
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Zip | 66204-1289
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Country | US
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Telephone | 913-980-4382
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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 | 83-80042-021
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License Number State | KS
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