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General NPI Number Information
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NPI Number | 1861186389
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Entity Type | Individual
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Provider Name | MARISSA L PARRISH APRN
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Gender | Female
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 508 JEFFORDS ST STE D
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City | CLEARWATER
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State | FL
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Zip | 33756-3839
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Country | US
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Telephone | 727-443-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 EXECUTIVE DR STE 130
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City | CLEARWATER
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State | FL
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Zip | 33762-5323
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Country | US
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Telephone | 727-347-0005
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Fax | 727-541-6558
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 11026778
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License Number State | FL
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