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General NPI Number Information
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NPI Number | 1225482615
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Entity Type | Individual
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Provider Name | CLIFFORD PARKER OD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 04/21/2016
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Provider Practice Location Address
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Address Line | 3015 S CONGRESS AVE STE 9
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2111
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Country | US
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Telephone | 561-967-4355
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Fax | 561-967-4466
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Provider Business Mailing Address
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Address Line | 3015 S CONGRESS AVE STE 9
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2111
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Country | US
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Telephone | 561-967-4355
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Fax | 561-967-4466
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC836
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License Number State | ZZ
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