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General NPI Number Information
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NPI Number | 1417588914
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Entity Type | Individual
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Provider Name | ADRIAN LYNN PARKS
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Gender | Male
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 7747 KIRBY DR
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City | HOUSTON
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State | TX
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Zip | 77030-4309
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Country | US
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Telephone | 713-661-7440
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Fax | 713-661-7562
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Provider Business Mailing Address
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Address Line | 3395 ASHTON SPRINGS LN
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City | PEARLAND
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State | TX
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Zip | 77584-5305
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Country | US
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Telephone | 713-417-1992
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 36549
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License Number State | TX
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