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General NPI Number Information
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NPI Number | 1891678728
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Entity Type | Individual
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Provider Name | JOSIAH PARKER MFT
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 127 W STATE ST
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City | ITHACA
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State | NY
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Zip | 14850-5474
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Country | US
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Telephone | 607-273-7494
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Fax |
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Provider Business Mailing Address
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Address Line | 96 W MAIN ST
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City | DRYDEN
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State | NY
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Zip | 13053-9706
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Country | US
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Telephone | 607-342-8722
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | P136656
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License Number State | NY
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