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General NPI Number Information
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NPI Number | 1902929128
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Entity Type | Organization
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Legal Business Name | PARSON CHIROPRACTIC PA
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 413 LITHIA PINECREST RD
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City | BRANDON
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State | FL
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Zip | 33511-6138
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Country | US
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Telephone | 813-571-2008
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Fax | 813-571-2085
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Provider Business Mailing Address
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Address Line | 413 LITHIA PINECREST RD
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City | BRANDON
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State | FL
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Zip | 33511-6138
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANE PARSON
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Credential | D.C.
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Telephone | 813-571-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH8350
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License Number State | FL
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