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General NPI Number Information
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NPI Number | 1629053947
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Entity Type | Individual
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Provider Name | MICHAEL A PARIMUCHA MD
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Gender | Male
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 5011 GATE PARKWAY BLDG 100 STE 100
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City | JACKSONVILLE
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State | FL
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Zip | 32256-3225
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Country | US
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Telephone | 904-512-7239
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Fax | 866-380-0827
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Provider Business Mailing Address
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Address Line | PO BOX 57100
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City | JACKSONVILLE
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State | FL
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Zip | 32241-7100
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME88189
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ME88189
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME88189
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License Number State | FL
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