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General NPI Number Information
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NPI Number | 1578507109
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Entity Type | Individual
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Provider Name | MICHAEL K PARSONS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17300 N OUTER 40 SUITE 103
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1361
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Country | US
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Telephone | 636-536-5158
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Fax | 636-536-4544
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Provider Business Mailing Address
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Address Line | 17300 N OUTER 40 SUITE 103
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1361
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Country | US
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Telephone | 636-536-5158
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Fax | 636-536-4544
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 014571
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License Number State | MO
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