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General NPI Number Information
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NPI Number | 1174706980
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Entity Type | Organization
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Legal Business Name | PARKS-GILL, INC
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 203 S GENEVA ST
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City | BRECKENRIDGE
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State | TX
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Zip | 76424-4701
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Country | US
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Telephone | 254-559-2023
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Fax | 254-559-2023
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Provider Business Mailing Address
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Address Line | 203 S GENEVA ST
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City | BRECKENRIDGE
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State | TX
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Zip | 76424-4701
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Country | US
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Telephone | 254-559-2023
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Fax | 254-559-2023
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. CHYANNA GILL
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Credential |
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Telephone | 254-559-2023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 32031353926
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License Number State | TX
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