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General NPI Number Information
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NPI Number | 1003109109
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Entity Type | Individual
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Provider Name | JARED LAWRENCE PARKINSON DDS
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Gender | Male
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 7777 WESTGREEN BLVD
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City | CYPRESS
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State | TX
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Zip | 77433-0190
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Country | US
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Telephone | 713-462-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 27106 HARVEST POINTE LN
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City | KATY
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State | TX
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Zip | 77494-2689
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Country | US
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Telephone | 443-449-9565
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 26450
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License Number State | TX
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