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General NPI Number Information
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NPI Number | 1023470507
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Entity Type | Individual
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Provider Name | TRESSA PARAVENTI DO
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Gender | Female
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 09/09/2019
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Provider Practice Location Address
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Address Line | 455 SHAWNEE LN
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-4145
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Country | US
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Telephone | 740-779-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 5669 SILVER FALLS ST
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City | DUBLIN
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State | OH
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Zip | 43016-7629
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Country | US
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Telephone | 920-217-4664
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34013176
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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