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NPI 1043429210

NPI 1043429210 : PARSONS CLINIC OF CHIROPRACTIC PC : GAINESVILLE, GA

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General NPI Number Information
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    NPI Number           |    1043429210
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARSONS CLINIC OF CHIROPRACTIC PC 
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Dates
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    Enumeration Date     |    05/22/2007
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    Last Update Date     |    02/27/2012
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Provider Practice Location Address
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    Address Line         |    6820 KEITH BRIDGE ROAD SUITE C
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    City                 |    GAINESVILLE
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    State                |    GA
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    Zip                  |    30506-3900
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    Country              |    US
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    Telephone            |    770-886-0007
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    Fax                  |    770-886-0992
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Provider Business Mailing Address
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    Address Line         |    6820 KEITH BRIDGE ROAD SUITE C
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    City                 |    GAINESVILLE
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    State                |    GA
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    Zip                  |    30506-3900
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    Country              |    US
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    Telephone            |    770-886-0007
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    Fax                  |    770-886-0992
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. STEPHEN R. PARSONS 
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    Credential           |    D.C.
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    Telephone            |    770-886-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CHIR005572
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    License Number State |    GA
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