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General NPI Number Information
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NPI Number | 1619163144
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Entity Type | Individual
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Provider Name | JOHN CHARLES PARIS D.M.D.,M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 3825 W GREEN OAKS BLVD SUITE 800
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City | ARLINGTON
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State | TX
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Zip | 76016-2796
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Country | US
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Telephone | 817-654-9053
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Fax | 817-451-8769
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Provider Business Mailing Address
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Address Line | 3825 W GREEN OAKS BLVD SUITE 800
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City | ARLINGTON
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State | TX
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Zip | 76016-2796
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Country | US
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Telephone | 817-654-9053
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Fax | 817-451-8769
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 14884
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License Number State | TX
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