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General NPI Number Information
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NPI Number | 1457521148
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Entity Type | Organization
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Legal Business Name | GREGORY A PARKER MD LLC
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 1380 NW WASHINGTON BLVD
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City | HAMILTON
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State | OH
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Zip | 45013-6310
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Country | US
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Telephone | 513-863-5780
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Fax | 513-863-6772
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Provider Business Mailing Address
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Address Line | 1380 NW WASHINGTON BLVD
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City | HAMILTON
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State | OH
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Zip | 45013-6310
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Country | US
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Telephone | 513-863-5780
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Fax | 513-863-6772
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY A PARKER
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Credential | MD
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Telephone | 513-863-5780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35058477
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License Number State | OK
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