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NPI 1285705657

NPI 1285705657 : PARR ORTHOPAEDICS PSC : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1285705657
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARR ORTHOPAEDICS PSC 
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Dates
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    Enumeration Date     |    11/10/2006
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    Last Update Date     |    11/01/2007
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Provider Practice Location Address
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    Address Line         |    125 E MAXWELL STREET SUITE 202
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40508
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    Country              |    US
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    Telephone            |    859-253-9200
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    Fax                  |    859-253-9966
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Provider Business Mailing Address
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    Address Line         |    125 E MAXWELL STREET SUITE 202
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40508
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    Country              |    US
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    Telephone            |    859-253-9200
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    Fax                  |    859-253-9966
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JEFFREY WRIGHT PARR 
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    Credential           |    MD
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    Telephone            |    859-253-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XS0114X
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    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
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    License Number       |    25519
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    License Number State |    KY
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