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General NPI Number Information
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NPI Number | 1639482193
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Entity Type | Organization
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Legal Business Name | PARNES MEDICAL PC
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 201 OCEAN PARKWAY
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City | BROOKLYN
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State | NY
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Zip | 11218-2569
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Country | US
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Telephone | 718-853-2462
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Fax | 718-871-9090
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Provider Business Mailing Address
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Address Line | PO BOX 392 PARNES MEDICAL PC
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City | WOODMERE
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State | NY
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Zip | 11598
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Country | US
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Telephone | 718-853-2462
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Fax | 718-871-9090
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Authorized Official
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Title or Position | PRES.
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Name | DR. MARC JACOB PARNES
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Credential | DO
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Telephone | 718-853-2462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 210518
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License Number State | NY
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