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General NPI Number Information
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NPI Number | 1114362621
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Entity Type | Individual
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Provider Name | MICHAEL RESNICK PARSONS MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 14555 W NATIONAL AVE
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City | NEW BERLIN
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State | WI
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Zip | 53151-4494
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Country | US
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Telephone | 844-284-0381
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Fax |
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone | 847-390-5900
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-172765
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D81432
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License Number State | MD
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Taxonomy #3
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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 | P-625-603-734-927
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5105-320
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License Number State | WI
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