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NPI 1265793160

NPI 1265793160 : ADAM FREDERICK PARSONS OTR/L, NBCTMB : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1265793160
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM FREDERICK PARSONS OTR/L, NBCTMB
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/06/2012
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    Last Update Date     |    10/22/2019
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Provider Practice Location Address
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    Address Line         |    1310 ROSENEATH RD UNIT 304 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23230-4645
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    Country              |    US
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    Telephone            |    804-690-8224
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1310 ROSENEATH RD UNIT 304 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23230-4645
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    Country              |    US
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    Telephone            |    804-690-8224
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    0119005308
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    0019008482
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    License Number State |    VA
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