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General NPI Number Information
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NPI Number | 1154682037
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Entity Type | Organization
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Legal Business Name | TONY PARSLEY DMD PC
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 1332 SW HIGHLAND AVE STE 1
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City | REDMOND
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State | OR
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Zip | 97756-2640
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Country | US
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Telephone | 541-504-3322
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Fax | 541-504-4346
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Provider Business Mailing Address
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Address Line | 1332 SW HIGHLAND AVE STE 1
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City | REDMOND
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State | OR
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Zip | 97756-2640
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Country | US
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Telephone | 541-504-3322
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Fax | 541-504-4346
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Authorized Official
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Title or Position | OWNER
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Name | DR. TONY L PARSLEY
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Credential | DMD
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Telephone | 541-504-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | D7782
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License Number State | OR
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