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General NPI Number Information
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NPI Number | 1467788083
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Entity Type | Individual
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Provider Name | JEREMY RAY PARSONS D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 88 E MEMORIAL DR
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City | POMEROY
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State | OH
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Zip | 45769-9569
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Country | US
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Telephone | 740-992-0060
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Fax | 740-992-5762
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Provider Business Mailing Address
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Address Line | 55 CENTENNIAL BLVD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1187
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.010591
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License Number State | OH
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