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General NPI Number Information
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NPI Number | 1003578311
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Entity Type | Organization
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Legal Business Name | PARKHURST AND SAVAGE FAMILY AND COSMETIC DENTISTRY
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 730 CROSSOVER LN
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City | MEMPHIS
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State | TN
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Zip | 38117-4905
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Country | US
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Telephone | 901-683-4369
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Fax | 901-683-4369
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Provider Business Mailing Address
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Address Line | 730 CROSSOVER LN
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City | MEMPHIS
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State | TN
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Zip | 38117-4905
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Country | US
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Telephone | 901-683-4369
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Fax | 901-767-6222
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. TIFFANY PARKHURST
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Credential |
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Telephone | 901-683-4369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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