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NPI 1134112709

NPI 1134112709 : SAM B PARIMI MD : GREENVILLE, SC

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General NPI Number Information
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    NPI Number           |    1134112709
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    Entity Type          |    Individual 
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    Provider Name        |    SAM B PARIMI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/29/2005
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    Last Update Date     |    05/16/2008
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Provider Practice Location Address
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    Address Line         |    27 CREEKVIEW COURT 
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    City                 |    GREENVILLE
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    State                |    SC
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    Zip                  |    29615-4800
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    Country              |    US
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    Telephone            |    864-627-4032
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    Fax                  |    864-627-4035
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Provider Business Mailing Address
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    Address Line         |    301 RAVEN RD 
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    City                 |    GREENVILLE
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    State                |    SC
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    Zip                  |    29615-4800
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    Country              |    US
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    Telephone            |    864-627-4032
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    Fax                  |    864-627-4035
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    17729
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    License Number State |    SC
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