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General NPI Number Information
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NPI Number | 1487252557
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Entity Type | Organization
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Legal Business Name | PARKER CHIROPRACTIC PA
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1000 FIANNA WAY
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City | FORT SMITH
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State | AR
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Zip | 72916-8285
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Country | US
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Telephone | 479-222-5819
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 CLIFF DRIVE
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City | FORT SMITH
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State | AR
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Zip | 72903
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Country | US
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Telephone | 479-719-5877
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. MARSHALL SEBASTIAN PARKER
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Credential | DC
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Telephone | 479-719-5877
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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 |
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License Number State |
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