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NPI 1417047952

NPI 1417047952 : PARISER DERMATOLOGY SPECIALISTS LTD : NORFOLK, VA

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General NPI Number Information
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    NPI Number           |    1417047952
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARISER DERMATOLOGY SPECIALISTS LTD 
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Dates
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    Enumeration Date     |    10/13/2006
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    Last Update Date     |    06/24/2024
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Provider Practice Location Address
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    Address Line         |    6160 KEMPSVILLE CIR STE 200A 
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23502-3945
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    Country              |    US
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    Telephone            |    757-622-6315
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    Fax                  |    757-622-7022
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Provider Business Mailing Address
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    Address Line         |    6160 KEMPSVILLE CIR SUITE 200 A
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23502-3933
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    Country              |    US
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    Telephone            |    757-622-6315
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    Fax                  |    757-625-6940
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Authorized Official
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    Title or Position    |    DELEGATED OFFICIAL
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    Name                 |    MS. CANNIE  ALLEN 
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    Credential           |    
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    Telephone            |    757-622-6315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    
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    License Number State |    
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