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General NPI Number Information
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NPI Number | 1992386163
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Entity Type | Organization
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Legal Business Name | KEVIN P PAREKH
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 611 E BURGESS RD STE A
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City | PENSACOLA
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State | FL
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Zip | 32504-6388
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Country | US
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Telephone | 850-474-8832
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Fax | 850-474-1735
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Provider Business Mailing Address
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Address Line | 611 E BURGESS RD STE A
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City | PENSACOLA
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State | FL
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Zip | 32504-6388
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Country | US
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Telephone | 850-474-8832
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Fax | 850-474-1735
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Authorized Official
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Title or Position | DENTIST
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Name | KEVIN P PAREKH
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Credential | DMD
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Telephone | 850-474-8832
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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 |
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