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General NPI Number Information
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NPI Number | 1114919198
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Entity Type | Organization
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Legal Business Name | JOHN J PARILLO MD PC
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 1055 NOTT ST
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City | SCHENECTADY
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State | NY
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Zip | 12308-2432
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Country | US
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Telephone | 518-370-5858
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9152 J PARILLO MD
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City | SCHENECTADY
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State | NY
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Zip | 12309-0152
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Country | US
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Telephone | 518-370-5858
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN J PARILLO
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Credential | MD
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Telephone | 518-370-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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