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General NPI Number Information
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NPI Number | 1881093581
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Entity Type | Organization
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Legal Business Name | HUBERT H. PARKER IV, D.M.D PC
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 9985 AIRPORT BLVD STE B
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City | MOBILE
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State | AL
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Zip | 36608-9525
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Country | US
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Telephone | 251-206-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 9985 AIRPORT BLVD STE B
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City | MOBILE
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State | AL
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Zip | 36608-9525
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Country | US
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Telephone | 251-206-6770
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | KAREN WYATT
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Credential |
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Telephone | 251-342-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4597
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License Number State | AL
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