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General NPI Number Information
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NPI Number | 1801008693
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Entity Type | Individual
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Provider Name | MICHAEL S. PARISH PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 1421 SE 4TH AVE SUITE D
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1900
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Country | US
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Telephone | 954-524-5244
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Fax | 954-524-9444
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Provider Business Mailing Address
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Address Line | 1421 SE 4TH AVE SUITE D
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1900
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Country | US
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Telephone | 954-524-5244
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Fax | 954-524-9444
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6021
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License Number State | FL
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