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General NPI Number Information
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NPI Number | 1194349597
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Entity Type | Individual
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Provider Name | DAVID B PARKER III MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 18555 N 79TH AVE STE D101
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City | GLENDALE
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State | AZ
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Zip | 85308-6040
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Country | US
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Telephone | 480-245-6211
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Fax | 480-525-9637
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Provider Business Mailing Address
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Address Line | 11130 CHRISTUS HILLS MEDICAL PLAZA 3, 3RD FL
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City | SAN ANTONIO
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State | TX
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Zip | 78251-3585
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Country | US
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Telephone | 210-703-9001
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Fax | 210-703-9155
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 77442
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 77442
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License Number State | AZ
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