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General NPI Number Information
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NPI Number | 1811251796
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Entity Type | Organization
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Legal Business Name | PARRISH FAMILY & COSMETIC DENTISTRY, LLP
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 06/26/2012
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Provider Practice Location Address
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Address Line | 307 E STATE HIGHWAY 71
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City | LLANO
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State | TX
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Zip | 78643-3067
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Country | US
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Telephone | 325-247-4000
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Fax | 325-247-1876
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Provider Business Mailing Address
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Address Line | 307 E STATE HIGHWAY 71
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City | LLANO
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State | TX
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Zip | 78643-3067
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Country | US
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Telephone | 325-247-4000
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Fax | 325-247-1876
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. CHARLES WILLIAM PARRISH
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Credential | DDS
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Telephone | 325-247-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20986
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21413
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License Number State | TX
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