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General NPI Number Information
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NPI Number | 1033114830
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Entity Type | Organization
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Legal Business Name | DR. RICHARD J. PERRY DO PA
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 1630 W CHAPMAN DR
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City | SANGER
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State | TX
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Zip | 76266-9054
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Country | US
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Telephone | 940-458-4774
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Fax | 940-458-0212
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | SANGER
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State | TX
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Zip | 76266-0249
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Country | US
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Telephone | 940-458-4774
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Fax | 940-458-0212
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RICHARD J PERRY
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Credential | DO
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Telephone | 940-458-4774
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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 | J0193
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License Number State | TX
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