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General NPI Number Information
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NPI Number | 1114905932
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Entity Type | Individual
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Provider Name | TODD RICHARD PARRY M.D
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 330 FALCON RIDGE PKWY STE 4000A
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City | MESQUITE
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State | NV
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Zip | 89027-8877
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Country | US
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Telephone | 435-628-9393
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Fax | 435-628-9382
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Provider Business Mailing Address
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Address Line | 1055 N 500 W ATTN: CREDENTIALING
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City | PROVO
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State | UT
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Zip | 84604-3305
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Country | US
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Telephone | 801-354-8225
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Fax | 801-418-0941
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 10925
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 55861821205
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License Number State | UT
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