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General NPI Number Information
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NPI Number | 1801351994
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Entity Type | Organization
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Legal Business Name | ANTHONY E. PARRISH, D.D.S., PC
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 3653 FLAKES MILL ROAD SUITE E
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City | DEACTUR
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State | GA
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Zip | 30034
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Country | US
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Telephone | 770-981-3006
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Fax | 770-981-2260
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Provider Business Mailing Address
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Address Line | 3653 FLAKES MILL ROAD SUITE E
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City | DEACTUR
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State | GA
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Zip | 30034
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Country | US
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Telephone | 770-981-3006
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Fax | 770-981-2260
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY EARL PARRISH
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Credential | D.D.S
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Telephone | 770-981-3006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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