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General NPI Number Information
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NPI Number | 1396242574
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Entity Type | Individual
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Provider Name | AUSTIN JAMES PARISH MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 2049 SEQUOYAH LN
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City | CHINLE
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State | AZ
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Zip | 86503
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Country | US
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Telephone | 928-674-7090
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 487
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City | CHINLE
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State | AZ
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Zip | 86503-0487
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Country | US
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Telephone | 541-690-5499
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A184421
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 312304
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License Number State | NY
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