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General NPI Number Information
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NPI Number | 1841344587
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Entity Type | Organization
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Legal Business Name | PARKER THERAPY ASSOCIATES
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 01/26/2008
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Provider Practice Location Address
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Address Line | 4360 ZION HILL RD
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City | WEATHERFORD
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State | TX
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Zip | 76088-7449
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Country | US
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Telephone | 817-441-6993
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Fax | 817-441-7673
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Provider Business Mailing Address
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Address Line | PO BOX 1780
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City | ALEDO
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State | TX
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Zip | 76008-1780
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Country | US
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Telephone | 817-441-6993
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Fax | 817-441-7673
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | VICKIE PARKER
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Credential | OTR
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Telephone | 817-441-6993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 101148
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License Number State | TX
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