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General NPI Number Information
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NPI Number | 1033421045
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Entity Type | Individual
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Provider Name | ANTONIO S PARAMESWARAN DMD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2010
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 2000 ABBOTT RD STE 200
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City | ANCHORAGE
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State | AK
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Zip | 99507-3878
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Country | US
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Telephone | 907-562-9939
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 ABBOTT RD STE 200
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City | ANCHORAGE
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State | AK
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Zip | 99507-3878
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Country | US
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Telephone | 907-602-1151
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D1343
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License Number State | AK
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