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General NPI Number Information
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NPI Number | 1053497222
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Entity Type | Individual
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Provider Name | CHARLES WILLIAM PARRISH DDS
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1310 FORD STREET
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City | LLANO
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State | TX
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Zip | 78643
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Country | US
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Telephone | 325-247-4000
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Fax | 325-247-1876
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Provider Business Mailing Address
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Address Line | 1985 RANCH ROAD 2323
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City | LLANO
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State | TX
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Zip | 78643
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Country | US
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Telephone | 325-247-5456
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 21413
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License Number State | TX
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