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General NPI Number Information
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NPI Number | 1093735375
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Entity Type | Individual
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Provider Name | SEBRINA D PERKINS MD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 4204 GARDENDALE ST STE 312
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3132
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Country | US
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Telephone | 210-614-0180
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Fax | 210-614-0710
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Provider Business Mailing Address
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Address Line | PO BOX 64568
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City | PHOENIX
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State | AZ
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Zip | 85082-4568
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Country | US
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Telephone | 210-614-0180
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Fax | 210-614-0710
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | K8417
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License Number State | TX
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