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General NPI Number Information
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NPI Number | 1003898495
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Entity Type | Individual
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Provider Name | JOSEPH J. PARKS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/19/2005
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | FAMILY HEALTH CENTER OF BOONE COUNTY 1001 WEST WORLEY
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City | COLUMBIA
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State | MO
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Zip | 35203-2037
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Country | US
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Telephone | 573-214-2314
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Fax | 573-814-2784
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Provider Business Mailing Address
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Address Line | FAMILY HEALTH CENTER OF BOONE COUNTY 1001 WEST WORLEY
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City | COLUMBIA
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State | MO
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Zip | 35203-2037
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Country | US
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Telephone | 573-214-2314
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Fax | 573-814-2784
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301510506
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME157686
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101281040
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 102804
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 317259
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.055167
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD61440922
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License Number State | WA
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