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General NPI Number Information
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NPI Number | 1982731188
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Entity Type | Organization
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Legal Business Name | MARK A. PARSONS, DDS, FAMILY DENTISTRY, PA
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 502 STATE HIGHWAY 110 N
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City | WHITEHOUSE
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State | TX
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Zip | 75791-3040
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Country | US
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Telephone | 903-839-6069
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Fax | 903-839-4268
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Provider Business Mailing Address
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Address Line | PO BOX 1030
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City | WHITEHOUSE
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State | TX
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Zip | 75791-1030
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Country | US
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Telephone | 903-839-6069
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Fax | 903-839-4268
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK ALLEN PARSONS
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Credential | DDS
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Telephone | 903-839-6069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15360
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License Number State | TX
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