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General NPI Number Information
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NPI Number | 1942471719
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Entity Type | Organization
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Legal Business Name | PARNES FAMILY DENTISTRY II LLC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 875 N MAIN ST SUITE 359
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City | ALPHARETTA
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State | GA
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Zip | 30004-8373
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Country | US
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Telephone | 404-213-9051
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Fax | 678-990-4072
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Provider Business Mailing Address
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Address Line | 875 N MAIN ST SUITE 359
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City | ALPHARETTA
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State | GA
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Zip | 30004-8373
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Country | US
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Telephone | 404-213-9051
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Fax | 678-990-4072
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Authorized Official
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Title or Position | OWNER
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Name | GARY WAYNE PARNES
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Credential | DDS
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Telephone | 404-213-9051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | GA
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