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General NPI Number Information
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NPI Number | 1447245584
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Entity Type | Individual
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Provider Name | DAVID A PARKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 2142 N COVE BLVD
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City | TOLEDO
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State | OH
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Zip | 43606-3895
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Country | US
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Telephone | 419-291-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 4841 MONROE ST SUITE 103
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City | TOLEDO
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State | OH
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Zip | 43623-4385
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Country | US
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Telephone | 419-474-4064
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Fax | 419-472-2772
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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 | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 35-058821
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-058821
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License Number State | OH
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