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NPI 1164637229

NPI 1164637229 : FRANK GUY PARISE DMD : BEAVER, PA

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General NPI Number Information
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    NPI Number           |    1164637229
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK GUY PARISE DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/11/2007
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    Last Update Date     |    07/29/2016
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Provider Practice Location Address
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    Address Line         |    1 BRIDGE ST 
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    City                 |    BEAVER
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    State                |    PA
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    Zip                  |    15009-2953
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    Country              |    US
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    Telephone            |    724-775-1802
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    Fax                  |    724-775-1803
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Provider Business Mailing Address
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    Address Line         |    PO BOX 860036 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55486-0036
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    Country              |    US
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    Telephone            |    724-775-1802
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    Fax                  |    724-775-1803
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DS025266L
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    License Number State |    PA
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