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General NPI Number Information
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NPI Number | 1386522761
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Entity Type | Individual
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Provider Name | MICHAEL JOHN PARISI AUD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1250 FOREST AVE
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City | PORTLAND
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State | ME
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Zip | 04103-1889
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Country | US
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Telephone | 207-797-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 167 HARRIS AVE
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City | PORTLAND
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State | ME
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Zip | 04103-1543
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Country | US
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Telephone | 617-631-3085
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AP4473
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AP4473
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License Number State | ME
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