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General NPI Number Information
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NPI Number | 1255443966
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Entity Type | Individual
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Provider Name | DEBRA ANNE PARRISH MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 1055 CENTERVILLE CIR
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55127-5033
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Country | US
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Telephone | 651-326-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 CENTERVILLE CIR
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55127-5033
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Country | US
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Telephone | 651-326-5900
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41550
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License Number State | CO
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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 | 55549
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD16849
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M-9727
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00047237
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N2929
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License Number State | TX
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