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General NPI Number Information
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NPI Number | 1376436303
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Entity Type | Individual
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Provider Name | PARKER ELIAS MCDONALD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2250 S MAIN ST
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City | CORONA
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State | CA
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Zip | 92882-2534
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Country | US
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Telephone | 800-595-2447
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Fax |
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Provider Business Mailing Address
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Address Line | 4560 GARDEN CITY LN
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City | CORONA
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State | CA
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Zip | 92883-0658
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Country | US
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Telephone | 951-258-9816
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC37323
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License Number State | CA
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