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General NPI Number Information
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NPI Number | 1497338321
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Entity Type | Individual
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Provider Name | JOSEPH P PARENTEAU
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Gender | Male
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 17876 SAINT CLAIR AVE
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City | CLEVELAND
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State | OH
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Zip | 44110-2602
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Country | US
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Telephone | 419-502-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 17876 SAINT CLAIR AVE
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City | CLEVELAND
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State | OH
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Zip | 44110-2602
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Country | US
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Telephone | 216-383-3738
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 58.031914
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 34017220
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License Number State | OH
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