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General NPI Number Information
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NPI Number | 1477621340
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Entity Type | Organization
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Legal Business Name | STEPHEN R. PARDEN, LLC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 119 HIGH PINES RDG
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City | FAIRHOPE
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State | AL
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Zip | 36532-6373
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Country | US
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Telephone | 251-751-1461
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Fax |
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Provider Business Mailing Address
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Address Line | 119 HIGH PINES RDG
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City | FAIRHOPE
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State | AL
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Zip | 36532-6373
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Country | US
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Telephone | 251-751-1461
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN ROY PARDEN
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Credential | MD
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Telephone | 251-751-1461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0013491
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 00013491
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 12985
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 12985
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | MD27134
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | MD00047412
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 017342
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License Number State | ME
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Taxonomy #8
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 017342
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License Number State | ME
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Taxonomy #9
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 50462-20
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License Number State | WI
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Taxonomy #10
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 6533
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License Number State | AK
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Taxonomy #11
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 6533
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License Number State | AK
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Taxonomy #12
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 25254
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License Number State | NE
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Taxonomy #13
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 20888
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License Number State | MS
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Taxonomy #14
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 00013491
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License Number State | AL
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Taxonomy #15
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 00013491
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License Number State | AL
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