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General NPI Number Information
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NPI Number | 1861491920
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Entity Type | Individual
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Provider Name | TODD ALAN PARRISH MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 203 NACOGDOCHES ST SUITE 150
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City | JACKSONVILLE
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State | TX
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Zip | 75766-2462
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Country | US
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Telephone | 903-586-6289
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Fax | 903-589-0748
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Provider Business Mailing Address
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Address Line | 612 N HIGH ST SUITE A
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City | HENDERSON
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State | TX
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Zip | 75652-5914
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Country | US
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Telephone | 903-657-1441
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Fax | 903-655-1442
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | J7829
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License Number State | TX
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