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General NPI Number Information
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NPI Number | 1376547356
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Entity Type | Individual
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Provider Name | DAVID R PARKER MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 1248 FORT BRAGG RD SUITE 200
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-4981
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Country | US
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Telephone | 910-486-6818
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Fax | 910-484-1099
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Provider Business Mailing Address
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Address Line | 1248 FORT BRAGG RD SUITE 200
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-4981
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Country | US
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Telephone | 910-486-6818
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Fax | 910-484-1099
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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 | 200300678
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License Number State | NC
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