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General NPI Number Information
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NPI Number | 1619102530
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Entity Type | Organization
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Legal Business Name | MCKINNEY ADULT MEDICINE PA
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 4501 MEDICAL CENTER DR STE 200
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City | MCKINNEY
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State | TX
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Zip | 75069-6801
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Country | US
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Telephone | 972-547-0352
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 MEDICAL CENTER DR STE 200
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City | MCKINNEY
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State | TX
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Zip | 75069-6801
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Country | US
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Telephone | 972-547-0352
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL JOSEPH PARISI
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Credential | D.O.
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Telephone | 972-547-0352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K3381
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License Number State | TX
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