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General NPI Number Information
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NPI Number | 1306142930
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Entity Type | Organization
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Legal Business Name | PARSONS CHIROPRACTIC SPORTS MEDICINE
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Dates
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Enumeration Date | 01/29/2011
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 124 W NORTH ST
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City | PECULIAR
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State | MO
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Zip | 64078-9422
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Country | US
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Telephone | 913-744-9271
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 162
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City | PECULIAR
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State | MO
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Zip | 64078-0162
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Country | US
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Telephone | 913-744-9271
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES G PARSONS
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Credential | DC
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Telephone | 913-744-9271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 2008028719
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License Number State | MO
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