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General NPI Number Information
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NPI Number | 1699899690
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Entity Type | Individual
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Provider Name | JEFFERY DAVID PARKINSON MA DABNM
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Gender | Male
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 13861 SINGLE LEAF CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-2969
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Country | US
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Telephone | 719-375-3150
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Fax | 888-460-8553
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Provider Business Mailing Address
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Address Line | 13861 SINGLE LEAF CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-2969
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Country | US
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Telephone | 719-375-3150
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Fax | 888-460-8553
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 291
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License Number State | CO
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