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General NPI Number Information
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NPI Number | 1124234851
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Entity Type | Organization
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Legal Business Name | MARIO J PARISI DDS LTD
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6 S 235 STEEPLE RUN DRIVE
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City | NAPERVILLE
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State | IL
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Zip | 60540-3769
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Country | US
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Telephone | 630-961-9692
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Fax | 630-961-9740
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Provider Business Mailing Address
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Address Line | 6 S 235 STEEPLE RUN DRIVE
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City | NAPERVILLE
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State | IL
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Zip | 60540-3769
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Country | US
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Telephone | 630-961-9692
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Fax | 630-961-9740
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. MARIO JOSEPH PANZI
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Credential | DDS
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Telephone | 630-961-9692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | IL
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