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General NPI Number Information
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NPI Number | 1770854770
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Entity Type | Organization
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Legal Business Name | PARSA ENTERPRISES INC.
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 3205 LORNA RD STE 103
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City | BIRMINGHAM
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State | AL
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Zip | 35216-7411
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Country | US
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Telephone | 205-822-2748
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Fax | 205-822-2756
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Provider Business Mailing Address
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Address Line | 3205 LORNA RD STE 103
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City | BIRMINGHAM
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State | AL
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Zip | 35216-7411
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Country | US
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Telephone | 205-822-2748
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Fax | 205-822-2756
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT B PARSA
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Credential | D.O.
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Telephone | 205-822-2748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | DO-377
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License Number State | AL
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