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General NPI Number Information
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NPI Number | 1780672956
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Entity Type | Organization
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Legal Business Name | CHARLIE J PARSONS
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 50 EASTERN AVE SUITE 107
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City | GREENCASTLE
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State | PA
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Zip | 17225-1100
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Country | US
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Telephone | 717-597-7708
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Fax | 717-597-1052
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Provider Business Mailing Address
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Address Line | 50 EASTERN AVE SUITE 107
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City | GREENCASTLE
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State | PA
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Zip | 17225-1100
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Country | US
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Telephone | 717-597-7708
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Fax | 717-597-1052
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ELISSA MARIE PARSONS
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Credential |
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Telephone | 717-597-7708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001097
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG000051
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License Number State | PA
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