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General NPI Number Information
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NPI Number | 1659397289
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Entity Type | Organization
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Legal Business Name | DRS. MOOREHEAD, PARISH AND ASSOC., P.A.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1201 E BROWARD BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2133
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Country | US
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Telephone | 954-524-5244
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Fax | 954-779-7994
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Provider Business Mailing Address
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Address Line | 1201 E BROWARD BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2133
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Country | US
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Telephone | 954-524-5244
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Fax | 954-779-7994
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. MICHAEL PARISH
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Credential | PSY.D.
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Telephone | 954-524-5244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY4324
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6021
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License Number State | FL
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