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General NPI Number Information
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NPI Number | 1740553775
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Entity Type | Organization
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Legal Business Name | DAVID J. PARKS MD, INC.
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 8920 WILSHIRE BLVD SUITE 500
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2007
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Country | US
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Telephone | 310-289-3666
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Fax | 310-289-8908
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Provider Business Mailing Address
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Address Line | 8920 WILSHIRE BLVD SUITE 500
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2007
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Country | US
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Telephone | 310-289-3666
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Fax | 310-289-8908
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID J PARKS
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Credential | M.D.
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Telephone | 310-289-3666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | G78517
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License Number State | CA
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