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General NPI Number Information
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NPI Number | 1891406716
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Entity Type | Individual
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Provider Name | DARYN HEATH PARNELL LAT
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Gender | Male
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 1966 ROSS AVE
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City | ABILENE
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State | TX
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Zip | 79605-6059
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Country | US
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Telephone | 830-719-0899
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Fax |
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Provider Business Mailing Address
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Address Line | 3639 SAYLES BLVD
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City | ABILENE
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State | TX
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Zip | 79605-7050
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Country | US
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Telephone | 325-691-1000
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT2623
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License Number State | TX
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