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General NPI Number Information
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NPI Number | 1265752653
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Entity Type | Individual
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Provider Name | PARKER MCLEAN GADDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 1700 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3509
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Country | US
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Telephone | 941-917-6812
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Fax | 941-917-6685
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Provider Business Mailing Address
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Address Line | 1700 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3509
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Country | US
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Telephone | 941-917-6812
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Fax | 941-917-6685
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2015-01089
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD32601
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License Number State | SC
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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 | LL32601
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME164106
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License Number State | FL
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