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General NPI Number Information
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NPI Number | 1215067525
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Entity Type | Individual
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Provider Name | WILLIAM K PARKIN LMT
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 734 ERIE BLVD WEST
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City | ROME
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State | NY
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Zip | 13440
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Country | US
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Telephone | 315-337-0763
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Fax | 315-337-7973
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Provider Business Mailing Address
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Address Line | 8313 HALSTEAD RD
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City | BLOSSVALE
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State | NY
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Zip | 13308
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Country | US
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Telephone | 315-245-2597
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 014589
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License Number State | NY
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