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General NPI Number Information
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NPI Number | 1114120425
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Entity Type | Individual
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Provider Name | MEREDITH SLOAN PARKS DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 211 VILLAGE AVE STE A
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City | YORKTOWN
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State | VA
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Zip | 23693-5638
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Country | US
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Telephone | 757-874-6655
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Fax | 757-874-6560
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Provider Business Mailing Address
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Address Line | 211 VILLAGE AVE STE A
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City | YORKTOWN
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State | VA
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Zip | 23693-5638
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Country | US
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Telephone | 757-874-6655
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Fax | 757-874-6560
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401411268
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License Number State | VA
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