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General NPI Number Information
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NPI Number | 1992030308
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Entity Type | Organization
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Legal Business Name | DEBRA L. PARSONS PLLC
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Dates
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Enumeration Date | 10/03/2009
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Last Update Date | 10/03/2009
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Provider Practice Location Address
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Address Line | 314 GOFF MOUNTAIN RD SUITE 16
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City | CHARLESTON
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State | WV
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Zip | 25313-6602
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Country | US
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Telephone | 304-204-2091
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Fax | 304-204-2093
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Provider Business Mailing Address
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Address Line | 314 GOFF MOUNTAIN RD SUITE 16
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City | CHARLESTON
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State | WV
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Zip | 25313-6602
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Country | US
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Telephone | 304-204-2091
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Fax | 304-204-2093
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBRA LYNN PARSONS
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Credential | MD
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Telephone | 304-204-2091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 18342
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License Number State | WV
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