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General NPI Number Information
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NPI Number | 1811304603
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Entity Type | Individual
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Provider Name | WARREN DAVID PARKER
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Gender | Male
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 4321 COLLINGTON RD STE 100
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City | BOWIE
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State | MD
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Zip | 20716-2646
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Country | US
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Telephone | 850-212-1873
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Fax |
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Provider Business Mailing Address
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Address Line | 152 E NEW ENGLAND DR
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City | ELKTON
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State | FL
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Zip | 32033-4050
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Country | US
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Telephone | 850-212-1873
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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 | ARNP9223358
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9223358
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License Number State | FL
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