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General NPI Number Information
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NPI Number | 1790272599
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Entity Type | Individual
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Provider Name | TIMOTHY RICHARD PARENTEAU MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 3300 WEBSTER ST STE 1106
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City | OAKLAND
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State | CA
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Zip | 94609-3125
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Country | US
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Telephone | 510-817-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 WEBSTER ST STE 1106
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City | OAKLAND
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State | CA
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Zip | 94609-3125
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Country | US
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Telephone | 510-817-2000
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A167098
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License Number State | CA
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