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NPI 1720849904

NPI 1720849904 : REED PARKINSON M.D., P.C. : PROVO, UT

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General NPI Number Information
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    NPI Number           |    1720849904
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    Entity Type          |    Organization 
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    Legal Business Name  |    REED PARKINSON M.D., P.C. 
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Dates
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    Enumeration Date     |    01/16/2024
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    Last Update Date     |    05/28/2024
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Provider Practice Location Address
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    Address Line         |    364 W 2230 N 
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    City                 |    PROVO
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    State                |    UT
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    Zip                  |    84604-1523
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    Country              |    US
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    Telephone            |    801-687-4036
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1757 N 1590 W 
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    City                 |    PROVO
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    State                |    UT
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    Zip                  |    84604-1702
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    Country              |    US
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    Telephone            |    801-687-4036
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     REED  PARKINSON 
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    Credential           |    MD
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    Telephone            |    385-268-5322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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