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General NPI Number Information
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NPI Number | 1174584056
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Entity Type | Individual
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Provider Name | JOANN PARISE
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Gender | Female
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | 318 E PALMETTO PARK RD
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City | BOCA RATON
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State | FL
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Zip | 33432-5016
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Country | US
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Telephone | 561-338-0081
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Fax | 561-338-8291
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Provider Business Mailing Address
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Address Line | 300 S AUSTRALIAN AVE UNIT 425
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-5083
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Country | US
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Telephone | 561-373-3049
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3823
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License Number State | FL
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