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General NPI Number Information
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NPI Number | 1912148388
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Entity Type | Individual
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Provider Name | DONNA PARKER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 14715 BEL RED RD BLDG G, ST 102
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City | BELLEVUE
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State | WA
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Zip | 98007-3940
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Country | US
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Telephone | 410-570-3498
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Fax |
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Provider Business Mailing Address
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Address Line | 1427 NE PARK DR
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City | ISSAQUAH
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State | WA
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Zip | 98029-8909
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Country | US
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Telephone | 410-570-3498
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH 60331756
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License Number State | WA
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