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General NPI Number Information
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NPI Number | 1073692299
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Entity Type | Organization
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Legal Business Name | RICHARD A PARODI DDS
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 2497 SAN BRUNO AVENUE
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City | SAN FRANCISCO
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State | CA
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Zip | 94134
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Country | US
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Telephone | 415-468-3756
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Fax | 415-468-6214
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Provider Business Mailing Address
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Address Line | 2497 SAN BRUNO AVENUE
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City | SAN FRANCISCO
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State | CA
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Zip | 94134
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Country | US
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Telephone | 415-468-3756
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Fax | 415-468-6214
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. RICHARD ANTHONY PARODI
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Credential | DDS
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Telephone | 415-468-3756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 19002
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License Number State | CA
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