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General NPI Number Information
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NPI Number | 1487045811
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Entity Type | Organization
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Legal Business Name | DAVID L PARKER DDS PC
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 7541 CROSSWOOD BLVD SUITE 2
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City | KNOXVILLE
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State | TN
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Zip | 37924-3935
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Country | US
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Telephone | 865-524-7775
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Fax | 865-525-7740
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Provider Business Mailing Address
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Address Line | 7541 CROSSWOOD BLVD SUITE 2
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City | KNOXVILLE
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State | TN
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Zip | 37924-3935
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Country | US
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Telephone | 865-524-7775
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Fax | 865-525-7740
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DAVID L PARKER
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Credential | DDS
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Telephone | 865-805-7775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7317
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License Number State | TN
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