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General NPI Number Information
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NPI Number | 1811297005
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Entity Type | Individual
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Provider Name | PATRICK NATHANIEL PARISH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 9035 E SANDIDGE RD SUITE 101
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-3520
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Country | US
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Telephone | 662-892-8215
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Fax |
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Provider Business Mailing Address
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Address Line | 3619 SHIRLWOOD AVE
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City | MEMPHIS
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State | TN
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Zip | 38122-4632
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Country | US
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Telephone | 901-568-6039
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 33627
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License Number State | TN
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