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General NPI Number Information
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NPI Number | 1023076981
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Entity Type | Individual
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Provider Name | THOMAS H. PARKER JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 1500 E SHOTWELL ST THOMAS H PARKER JR, MD, PC DBA BAINBRIDGE ANESTHESIA
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City | BAINBRIDGE
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State | GA
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Zip | 39819-4256
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Country | US
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Telephone | 229-246-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 235019
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City | MONTGOMERY
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State | AL
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Zip | 36123-5019
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Country | US
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Telephone | 334-279-1450
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Fax | 334-279-1660
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 021779
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License Number State | GA
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