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General NPI Number Information
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NPI Number | 1558365379
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Entity Type | Individual
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Provider Name | DOUGLAS R. PARRISH LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 2577 RAVENHILL DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-5451
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Country | US
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Telephone | 910-609-3700
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Fax | 910-609-3784
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Provider Business Mailing Address
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Address Line | 2577 RAVENHILL DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-5451
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Country | US
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Telephone | 910-438-0947
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Fax | 910-438-0906
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C003509
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License Number State | NC
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