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NPI 1326232711

NPI 1326232711 : DR. ROBERT PARSA : HOOVER, AL

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General NPI Number Information
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    NPI Number           |    1326232711
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    Entity Type          |    Individual 
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    Provider Name        |    DR. ROBERT PARSA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/29/2007
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    Last Update Date     |    08/29/2007
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Provider Practice Location Address
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    Address Line         |    3205 LORNA RD STE 103 
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    City                 |    HOOVER
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    State                |    AL
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    Zip                  |    35216-5494
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    Country              |    US
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    Telephone            |    205-822-2748
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    Fax                  |    205-822-2756
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Provider Business Mailing Address
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    Address Line         |    3205 LORNA RD STE 103 
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    City                 |    HOOVER
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    State                |    AL
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    Zip                  |    35216-5494
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    Country              |    US
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    Telephone            |    205-822-2748
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    Fax                  |    205-822-2756
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    DO377
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    License Number State |    AL
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