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General NPI Number Information
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NPI Number | 1831969187
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Entity Type | Individual
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Provider Name | PAUL ALAN PARRISH DC
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Gender | Male
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 300 OZARK TRAIL DR STE 105
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City | ELLISVILLE
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State | MO
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Zip | 63011-2156
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Country | US
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Telephone | 636-207-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 594 BRIDGEBEND RD
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City | MANCHESTER
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State | MO
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Zip | 63021-6704
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Country | US
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Telephone | 484-366-6324
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2024000511
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License Number State | MO
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