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General NPI Number Information
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NPI Number | 1083974588
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Entity Type | Individual
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Provider Name | JERRY W PARSONS LSW, MSW, MLS
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Gender | Male
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 3805 STATE FERRY RD
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City | SOLSBERRY
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State | IN
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Zip | 47459-8012
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Country | US
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Telephone | 317-500-0723
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 STATE FERRY RD
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City | SOLSBERRY
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State | IN
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Zip | 47459-8012
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Country | US
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Telephone | 317-500-0723
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33005296A
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License Number State | IN
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