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General NPI Number Information
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NPI Number | 1265854947
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Entity Type | Organization
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Legal Business Name | PARKER & PARKER DDS PA
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 111 S WEISGARBER RD
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City | KNOXVILLE
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State | TN
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Zip | 37919-4928
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Country | US
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Telephone | 865-584-3924
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S WEISGARBER RD
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City | KNOXVILLE
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State | TN
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Zip | 37919-4928
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Country | US
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Telephone | 865-584-3924
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JAMIE NORTHCUTT
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Credential |
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Telephone | 865-919-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | DS0000001422
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License Number State | TN
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