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General NPI Number Information
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NPI Number | 1215100706
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Entity Type | Individual
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Provider Name | NOAH PHILLEO PARKER MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 11725 ILLINOIS ST STE 275
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City | CARMEL
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State | IN
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Zip | 46032-3009
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Country | US
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Telephone | 317-688-4864
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Fax | 317-688-4884
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 01073891A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01082693A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 256391
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01073891A
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License Number State | IN
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