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General NPI Number Information
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NPI Number | 1184925786
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Entity Type | Organization
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Legal Business Name | JEROME M. PARSONS, M.D., P.C.
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 11/12/2010
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Provider Practice Location Address
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Address Line | 3105 WESTERN BRANCH BLVD. COMPLEX ONE SUITE 4A
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City | CHESAPEAKE
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State | VA
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Zip | 23321
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Country | US
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Telephone | 757-484-4607
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Fax | 757-484-4703
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Provider Business Mailing Address
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Address Line | 3105 WESTERN BRANCH BLVD. COMPLEX ONE SUITE 4A
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City | CHESAPEAKE
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State | VA
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Zip | 23321
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Country | US
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Telephone | 757-484-4607
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Fax | 757-484-4703
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Authorized Official
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Title or Position | PRESDIENT (JEROME M. PARSONS, M.D.,
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Name | DR. JEROME MICHAEL PARSONS
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Credential | M.D.
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Telephone | 757-484-4607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0101035593
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License Number State | VA
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