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General NPI Number Information
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NPI Number | 1073913737
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Entity Type | Individual
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Provider Name | CARIE PERRINO NMD, RDN
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Gender | Female
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Dates
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Enumeration Date | 09/01/2014
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 123 E BASELINE RD STE D208
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City | TEMPE
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State | AZ
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Zip | 85283-1298
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Country | US
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Telephone | 480-914-0521
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Fax | 480-914-0522
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Provider Business Mailing Address
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Address Line | 123 E BASELINE RD STE D208
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City | TEMPE
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State | AZ
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Zip | 85283-1298
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Country | US
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Telephone | 480-914-0521
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Fax | 480-914-0522
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 22-1748
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164006255
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License Number State | IL
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