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General NPI Number Information
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NPI Number | 1396557104
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Entity Type | Individual
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Provider Name | DAVID PARRISH
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Gender | Male
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 10100 CEDAR ISLAND RD
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City | BELLEVUE
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State | NE
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Zip | 68123-5048
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Country | US
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Telephone | 402-807-3199
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Fax |
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Provider Business Mailing Address
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Address Line | 10917 HARDWOOD DR
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City | PAPILLION
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State | NE
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Zip | 68046-4561
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14274
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License Number State | NE
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