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General NPI Number Information
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NPI Number | 1487293056
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Entity Type | Individual
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Provider Name | DANIEL PARKINSON DC
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Gender | Male
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 136 S 1ST W
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City | REXBURG
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State | ID
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Zip | 83440-1817
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Country | US
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Telephone | 208-296-6216
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 821
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City | REXBURG
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State | ID
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Zip | 83440-0821
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Country | US
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Telephone | 208-296-6216
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA-1989
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License Number State | ID
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