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General NPI Number Information
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NPI Number | 1922393560
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Entity Type | Individual
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Provider Name | TESSICA HALLIE PARSONS PHARM D
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Gender | Female
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Dates
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Enumeration Date | 06/11/2011
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Last Update Date | 06/11/2011
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Provider Practice Location Address
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Address Line | 9777 76TH ST
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-1990
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Country | US
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Telephone | 262-842-1171
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Fax |
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Provider Business Mailing Address
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Address Line | 9777 76TH ST
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-1990
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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 |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16171-040
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.294610
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19855
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202206382
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH
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License Number State | WA
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