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General NPI Number Information
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NPI Number | 1417122656
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Entity Type | Individual
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Provider Name | GARY ALBERT PARKINSON EMT-II
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Gender | Male
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 2828 ONEIL LN
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City | EUREKA
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State | CA
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Zip | 95503-4870
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Country | US
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Telephone | 707-443-9385
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Fax | 707-443-0258
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Provider Business Mailing Address
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Address Line | 2828 ONEIL LN
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City | EUREKA
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State | CA
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Zip | 95503-4870
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Country | US
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Telephone | 707-443-9385
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Fax | 707-443-0258
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number | 07001184
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | 95171768
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License Number State | CA
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