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General NPI Number Information
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NPI Number | 1184950149
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Entity Type | Individual
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Provider Name | WILLIAM THOMAS PARKER DDS
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Gender | Male
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 11916 LOCH NESS DR
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City | DALLAS
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State | TX
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Zip | 75218-1324
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Country | US
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Telephone | 214-503-8186
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Fax |
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Provider Business Mailing Address
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Address Line | 4514 COLE AVE #910
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City | DALLAS
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State | TX
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Zip | 75205
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Country | US
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Telephone | 214-526-3363
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9940
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License Number State | TX
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