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General NPI Number Information
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NPI Number | 1730247768
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Entity Type | Individual
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Provider Name | STACEY MACY PARSONS D.P.T., O.C.S.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 1612 S CATALINA AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5214
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Country | US
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Telephone | 424-290-0096
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 S PACIFIC COAST HWY UNIT 9
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City | REDONDO BEACH
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State | CA
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Zip | 90277-6165
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Country | US
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Telephone | 510-579-3969
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 27591
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License Number State | CA
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