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General NPI Number Information
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NPI Number | 1962673863
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Entity Type | Individual
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Provider Name | LISA CAROL PARENTI DC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 08/10/2009
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Provider Practice Location Address
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Address Line | 1110 HWY A1A
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-2409
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Country | US
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Telephone | 321-765-5777
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Fax | 321-234-9217
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Provider Business Mailing Address
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Address Line | 200 ELM AVE
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-3371
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Country | US
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Telephone | 615-394-7711
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Fax | 321-234-9217
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | TN706
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9733
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License Number State | FL
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