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General NPI Number Information
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NPI Number | 1144798794
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Entity Type | Individual
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Provider Name | JAMES BRYCE PARRISH PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 24582 DEL PRADO STE C
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City | DANA POINT
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State | CA
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Zip | 92629-3820
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Country | US
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Telephone | 949-433-0713
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Fax |
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Provider Business Mailing Address
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Address Line | 72 MAIN ST APT 14
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City | RAYMOND
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State | NH
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Zip | 03077-2350
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Country | US
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Telephone | 413-475-2631
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4740
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 295868
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License Number State | CA
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