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General NPI Number Information
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NPI Number | 1013284736
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Entity Type | Organization
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Legal Business Name | JOHN N. PARKER, M.D., INC
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 763 ALTOS OAKS DR SUITE 1
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City | LOS ALTOS
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State | CA
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Zip | 94024-5496
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Country | US
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Telephone | 650-917-9135
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Fax | 650-917-0832
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Provider Business Mailing Address
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Address Line | 763 ALTOS OAKS DR SUITE 1
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City | LOS ALTOS
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State | CA
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Zip | 94024-5496
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Country | US
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Telephone | 650-917-9135
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Fax | 650-917-0832
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN N PARKER
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Credential | MD
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Telephone | 650-917-9135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G45374
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License Number State | CA
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