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General NPI Number Information
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NPI Number | 1689904617
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Entity Type | Individual
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Provider Name | ELIZABETH PAIGE PARSONS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 505 CLUBHOUSE RD
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City | VESTAL
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State | NY
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Zip | 13850
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Country | US
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Telephone | 607-249-5028
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 123
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City | SOUTH PLYMOUTH
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State | NY
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Zip | 13844-0123
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Country | US
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Telephone | 518-701-0145
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 108456-1
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License Number State | NY
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