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General NPI Number Information
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NPI Number | 1881279149
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Entity Type | Individual
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Provider Name | RAQUEL DENISE PARKER NP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 690 HIGHWAY 138 SW
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City | RIVERDALE
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State | GA
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Zip | 30274-3965
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Country | US
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Telephone | 678-855-6344
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Fax | 678-855-6423
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Provider Business Mailing Address
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Address Line | 1896 SCHOFIELD DR
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City | HAMPTON
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State | GA
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Zip | 30228-3656
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Country | US
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Telephone | 757-750-5547
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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 | APRN-NP202348
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License Number State | GA
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