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General NPI Number Information
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NPI Number | 1861957722
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Entity Type | Individual
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Provider Name | MICHAELA R PARRISH P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 620 EAST 25TH STREET
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City | KEARNEY
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State | NE
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Zip | 68847-5511
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Country | US
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Telephone | 308-865-2767
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Fax | 308-865-2765
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Provider Business Mailing Address
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Address Line | P.O. BOX 2290
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City | KEARNEY
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State | NE
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Zip | 68848
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Country | US
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Telephone | 308-865-2767
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Fax | 308-865-2765
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2319
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License Number State | NE
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