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General NPI Number Information
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NPI Number | 1336121664
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Entity Type | Individual
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Provider Name | AMY ELISABETH PARRY D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 9 VICTORY DR
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City | LIBERTY
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State | MO
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Zip | 64068-1973
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Country | US
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Telephone | 816-792-1809
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Fax | 816-792-1860
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Provider Business Mailing Address
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Address Line | 2101 LIBERTY DR
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City | LIBERTY
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State | MO
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Zip | 64068-7720
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Country | US
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Telephone | 816-792-1809
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Fax | 816-792-9819
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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 | 2001005046
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License Number State | MO
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