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General NPI Number Information
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NPI Number | 1043345309
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Entity Type | Individual
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Provider Name | CHRISTIAN PARISEAU MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 2500 ROCKY MOUNTAIN AVE STE 330
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City | LOVELAND
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State | CO
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Zip | 80538-9004
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Country | US
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Telephone | 970-313-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 555 S 18TH ST
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City | COLUMBUS
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State | OH
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Zip | 43205-2654
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Country | US
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Telephone | 614-722-2458
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Fax | 614-722-4966
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35123774
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 35123774
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0055277
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License Number State | CO
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