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General NPI Number Information
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NPI Number | 1386614766
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Entity Type | Organization
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Legal Business Name | PARIS FAMILY PHYSICIANS,PA
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 1128 CLARKSVILLE ST STE. 100
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City | PARIS
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State | TX
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Zip | 75460-6060
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Country | US
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Telephone | 903-669-0800
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Fax | 903-782-9365
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Provider Business Mailing Address
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Address Line | 1128 CLARKSVILLE ST STE. 100
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City | PARIS
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State | TX
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Zip | 75460-6060
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Country | US
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Telephone | 903-785-4362
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Fax | 903-782-9365
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. LAURIE BETH RAST
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Credential |
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Telephone | 903-785-4362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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