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General NPI Number Information
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NPI Number | 1568847846
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Entity Type | Individual
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Provider Name | AMY ELISE PARISH
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Gender | Female
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 2802 GARTH RD
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City | BAYTOWN
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State | TX
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Zip | 77521-3900
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Country | US
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Telephone | 713-936-9882
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Fax |
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Provider Business Mailing Address
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Address Line | 4327 MALLARD DR
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City | BAYTOWN
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State | TX
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Zip | 77523-8834
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Country | US
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Telephone | 409-277-9518
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2114310
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License Number State | TX
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