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General NPI Number Information
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NPI Number | 1093860116
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Entity Type | Individual
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Provider Name | RONNIE CHRISTOPHER PARKER DO
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 136 PARK RD
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City | FREEBURN
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State | KY
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Zip | 41528-8718
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Country | US
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Telephone | 606-984-5484
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Fax | 877-447-0814
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Provider Business Mailing Address
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Address Line | BIG SANDY HEALTH CARE, INC 1709 KY RTE 321, STE 3
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City | PRESTONSBURG
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State | KY
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Zip | 41653
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Country | US
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Telephone | 606-886-8546
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Fax | 606-886-8548
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02815
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License Number State | KY
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