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General NPI Number Information
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NPI Number | 1437490307
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Entity Type | Individual
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Provider Name | MICHAEL A. PARENTEAU MD, JD, MPH, BS
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Gender | Male
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Dates
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Enumeration Date | 03/02/2013
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 48 MDG/RAF LAKENHEATH OPC 41 UNIT 5115
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City | APO
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State | AE
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Zip | 09461-5115
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Country | US
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Telephone | 314-236-8737
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Fax |
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Provider Business Mailing Address
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Address Line | 48 MDG/RAF LAKENHEATH OPC 41 BOX 15
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City | APO
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State | AE
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Zip | 09461-5115
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Country | US
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Telephone |
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD-17772
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License Number State | HI
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