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General NPI Number Information
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NPI Number | 1376970178
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Entity Type | Organization
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Legal Business Name | JAMES S. PARHAM, D.D.S. P.A.
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Dates
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Enumeration Date | 10/11/2013
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 2707 W HUNTSVILLE AVE
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City | SPRINGDALE
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State | AR
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Zip | 72762-7723
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Country | US
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Telephone | 479-756-8631
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Fax | 479-751-7892
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Provider Business Mailing Address
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Address Line | 2707 W HUNTSVILLE AVE
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City | SPRINGDALE
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State | AR
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Zip | 72762-7723
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Country | US
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Telephone | 479-756-8631
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Fax | 479-751-7892
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES SAMUEL PARHAM
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Credential | D.D.S.
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Telephone | 479-756-8631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3969
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License Number State | AR
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