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General NPI Number Information
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NPI Number | 1831169598
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Entity Type | Individual
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Provider Name | LEE W PARSONS MD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 5601 W CHINDEN BLVD
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City | GARDEN CITY
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State | ID
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Zip | 83714-1463
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Country | US
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Telephone | 208-809-2865
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Fax | 208-809-2866
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Provider Business Mailing Address
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Address Line | PO BOX 191050
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City | BOISE
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State | ID
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Zip | 83719-1050
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Country | US
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Telephone | 208-955-6500
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Fax | 208-955-6501
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M5974
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | M-5974
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License Number State | ID
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