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General NPI Number Information
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NPI Number | 1356410617
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Entity Type | Individual
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Provider Name | BARRY LYNN PARKINS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 78-080 AVENIDA LA FONDA
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City | LA QUINTA
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State | CA
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Zip | 92253-2923
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Country | US
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Telephone | 760-777-0114
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Fax | 760-777-8270
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Provider Business Mailing Address
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Address Line | 78-080 AVENIDA LA FONDA
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City | LA QUINTA
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State | CA
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Zip | 92253-2923
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Country | US
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Telephone | 760-777-0114
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Fax | 760-777-8270
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20569
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License Number State | CA
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