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General NPI Number Information
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NPI Number | 1932027000
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Entity Type | Individual
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Provider Name | MARY KAEGAN PARKS
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 1218 HENDERSONVILLE RD
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City | ASHEVILLE
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State | NC
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Zip | 28803-1903
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Country | US
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Telephone | 828-277-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 900 E SLIGH AVE UNIT 304
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City | TAMPA
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State | FL
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Zip | 33604-4984
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Country | US
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Telephone | 828-708-3806
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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