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General NPI Number Information
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NPI Number | 1457513954
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Entity Type | Organization
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Legal Business Name | PARKER & CHAMBLEE LLC
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 119 S HIGHWAY 342 SUITE 401
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City | RED OAK
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State | TX
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Zip | 75154-6419
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Country | US
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Telephone | 972-617-7100
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Fax | 972-692-7007
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Provider Business Mailing Address
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Address Line | 119 S HIGHWAY 342 SUITE 401
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City | RED OAK
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State | TX
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Zip | 75154-6419
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Country | US
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Telephone | 972-617-7100
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Fax | 972-692-7007
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. MIKEL CHAMBLEE
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Credential |
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Telephone | 972-617-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G30449
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License Number State | TX
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