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General NPI Number Information
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NPI Number | 1811595747
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Entity Type | Individual
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Provider Name | JENNIFER NICHOLE PARSONS LAC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 512 RIVERSIDE PKWY NE
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City | ROME
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State | GA
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Zip | 30161-2911
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Country | US
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Telephone | 706-978-6220
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Fax | 877-701-1897
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Provider Business Mailing Address
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Address Line | 512 RIVERSIDE PKWY NE STE 702
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City | ROME
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State | GA
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Zip | 30161-2910
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Country | US
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Telephone | 706-978-6220
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Fax | 877-701-1897
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 475
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License Number State | GA
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