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General NPI Number Information
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NPI Number | 1932275286
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Entity Type | Individual
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Provider Name | IRENE NEWMAN PARSONSON FNP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 130 E LOCKLING ST
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City | BROOKFIELD
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State | MO
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Zip | 64628-2337
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Country | US
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Telephone | 660-258-1050
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Fax | 660-258-1052
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Provider Business Mailing Address
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Address Line | 103 BROOKSIDE CT
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City | BROOKFIELD
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State | MO
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Zip | 64628-2479
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Country | US
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Telephone | 660-258-7194
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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 | 138036
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License Number State | MO
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