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General NPI Number Information
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NPI Number | 1407937519
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Entity Type | Individual
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Provider Name | JOHN N PARKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 763 ALTOS OAKS DR SUITE 1
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City | LOS ALTOS
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State | CA
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Zip | 94024-5496
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Country | US
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Telephone | 650-917-9135
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Fax | 650-917-0832
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Provider Business Mailing Address
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Address Line | 763 ALTOS OAKS DR SUITE 1
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City | LOS ALTOS
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State | CA
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Zip | 94024-5496
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Country | US
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Telephone | 650-917-9135
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Fax | 650-917-0832
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G45374
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License Number State | CA
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