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General NPI Number Information
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NPI Number | 1831394519
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Entity Type | Individual
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Provider Name | ANNE MARIE PARKER PTA
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Gender | Female
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 10/19/2008
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Provider Practice Location Address
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Address Line | 6700 ANTIOCH RD SUITE 430
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City | MERRIAM
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State | KS
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Zip | 66204-1258
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Country | US
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Telephone | 913-652-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 604 N WALNUT ST
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City | PITTSBURG
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State | KS
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Zip | 66762-3826
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Country | US
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Telephone | 620-687-4797
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2007028656
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License Number State | MO
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