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NPI Code Detail

MEDICARE: JASON PARKINS

MEDICARE:   JASON  PARKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool PsychologistOH3129722OH

General Provider Information

NPI Number : 1962893909
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON PARKINS
Provider Business Mailing Address
First Line : 303 KINSEY RD
Second Line :
City : XENIA
State : OH
Zip : 45385-1410
Country : US
Telephone Number : 937-556-2992
Fax Number :
Provider Business Practice Location Address
First Line : 303 KINSEY RD
Second Line :
City : XENIA
State : OH
Zip : 45385-1410
Country : US
Telephone Number : 937-562-9926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2015
Last Update Date : 02/12/2015

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Directions to “ JASON PARKINS ” Practice Location

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