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General NPI Number Information
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NPI Number | 1811196900
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Entity Type | Organization
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Legal Business Name | EARL H. PARRISH, M.D., P.C.
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 701 GOLF VIEW DR
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City | MEDFORD
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State | OR
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Zip | 97504-9643
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Country | US
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Telephone | 541-779-7275
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Fax | 541-779-0663
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Provider Business Mailing Address
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Address Line | 701 GOLF VIEW DR
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City | MEDFORD
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State | OR
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Zip | 97504-9643
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Country | US
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Telephone | 541-779-7275
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Fax | 541-779-0663
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. EARL H. PARRISH
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Credential | M.D.
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Telephone | 541-779-7275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 07-1521
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License Number State | OR
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