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General NPI Number Information
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NPI Number | 1982696365
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Entity Type | Organization
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Legal Business Name | WENDY R PARISH, M.D., P.C.
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 361 BROADWAY
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-331-2677
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Fax | 845-331-8246
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Provider Business Mailing Address
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Address Line | 361 BROADWAY
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-331-2677
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Fax | 845-331-8246
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Authorized Official
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Title or Position | DR/PHYSICIAN
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Name | WENDY R PARISH
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Credential | MD
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Telephone | 845-331-2677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 168520-1
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License Number State | NY
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