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General NPI Number Information
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NPI Number | 1932242740
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Entity Type | Individual
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Provider Name | THOMAS J PARRY P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 5901 N LIDGERWOOD ST STE 126
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City | SPOKANE
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State | WA
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Zip | 99208-1122
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Country | US
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Telephone | 509-434-1990
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Fax | 509-340-8986
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Provider Business Mailing Address
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Address Line | 203 N WASHINGTON ST STE 300
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City | SPOKANE
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State | WA
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Zip | 99201-0233
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Country | US
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Telephone | 509-444-8888
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Fax | 509-444-7806
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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 | PA10002660
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License Number State | WA
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