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General NPI Number Information
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NPI Number | 1841473964
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Entity Type | Organization
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Legal Business Name | R D PARKER ASSOCIATES INC
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 08/02/2008
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Provider Practice Location Address
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Address Line | 475 LEWIS STREET SUITE 206
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City | PAGOSA SPRINGS
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State | CO
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Zip | 81147
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Country | US
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Telephone | 970-946-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 220 N COUGAR CT
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City | PAGOSA SPRINGS
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State | CO
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Zip | 81147-8527
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RON PARKER
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Credential |
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Telephone | 970-264-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2660
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License Number State | CO
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