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General NPI Number Information
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NPI Number | 1083924906
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Entity Type | Individual
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Provider Name | LORILEE PERRY NP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 560 E HERNDON AVE STE 201
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City | FRESNO
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State | CA
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Zip | 93720-2907
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Country | US
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Telephone | 559-437-7311
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Fax | 559-437-7152
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Provider Business Mailing Address
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Address Line | PO BOX 28949
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City | FRESNO
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State | CA
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Zip | 93729-8949
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Country | US
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Telephone | 559-228-5400
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Fax | 559-224-3920
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 20234
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP20234
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License Number State | CA
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