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General NPI Number Information
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NPI Number | 1093179392
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Entity Type | Individual
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Provider Name | GREGORY ANDREW PARSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 12/26/2019
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Provider Practice Location Address
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Address Line | 1505 W SHERMAN AVE
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City | VINELAND
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State | NJ
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Zip | 08360-7059
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Country | US
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Telephone | 856-641-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 E DAKOTA ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-2540
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Country | US
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Telephone | 410-952-9516
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MB10464300
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License Number State | NJ
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