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General NPI Number Information
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NPI Number | 1710667381
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Entity Type | Organization
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Legal Business Name | PARISH LLC
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 706 CAMPBELL AVE SW STE B
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City | ROANOKE
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State | VA
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Zip | 24016-3534
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Country | US
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Telephone | 818-640-9454
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Fax |
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Provider Business Mailing Address
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Address Line | 1146 BELCROFT CT
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City | ROANOKE
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State | VA
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Zip | 24018-7709
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Country | US
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Telephone | 818-640-9454
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. ROBERT GERSTEIN
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Credential |
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Telephone | 818-640-9454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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