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General NPI Number Information
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NPI Number | 1669582680
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Entity Type | Organization
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Legal Business Name | PARKER UNIVERSITY
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 2600 ELECTRONIC LANE
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City | DALLAS
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State | TX
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Zip | 75220-1216
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Country | US
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Telephone | 972-438-6932
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Fax | 214-902-3475
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Provider Business Mailing Address
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Address Line | 2540 WALNUT HILL LN
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City | DALLAS
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State | TX
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Zip | 75229-5609
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Country | US
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Telephone | 972-438-6932
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Fax | 214-902-3475
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Authorized Official
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Title or Position | DIRECTOR OF CLINICS
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Name | MR. PATRICK BODNAR
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Credential | DC
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Telephone | 972-438-6932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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