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General NPI Number Information
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NPI Number | 1043927239
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Entity Type | Organization
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Legal Business Name | MARK PARIS MD INC.
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 100 E LINTON BLVD STE 503A
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3353
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Country | US
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Telephone | 561-265-4969
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Fax | 561-265-4392
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Provider Business Mailing Address
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Address Line | 100 E LINTON BLVD STE 503A
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3353
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Country | US
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Telephone | 305-308-5509
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | MARK PARIS
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Credential | MD
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Telephone | 305-318-7585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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