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General NPI Number Information
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NPI Number | 1972021939
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Entity Type | Organization
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Legal Business Name | DEBBIE PARKER LLC
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 9505 HULL STREET RD SUITE D2
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-1475
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Country | US
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Telephone | 804-716-7045
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5361
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-0023
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Country | US
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Telephone | 804-716-7045
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | CHRISTOPHER PRICE
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Credential |
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Telephone | 804-980-5925
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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 | 0904004489
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License Number State | VA
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