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General NPI Number Information
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NPI Number | 1659938835
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Entity Type | Individual
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Provider Name | PHILIP EDWARD PARROTT
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Gender | Male
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 1974 WALTON NICHOLSON PIKE
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City | INDEPENDENCE
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State | KY
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Zip | 41051-7906
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Country | US
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Telephone | 859-359-5404
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Fax |
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Provider Business Mailing Address
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Address Line | 1974 WALTON NICHOLSON PIKE
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City | INDEPENDENCE
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State | KY
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Zip | 41051-7906
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Country | US
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Telephone | 859-359-5404
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 86000370A
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License Number State | IN
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