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General NPI Number Information
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NPI Number | 1114622347
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Entity Type | Organization
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Legal Business Name | PERRY & DAVIS ENTERPRISE, LLC
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 13791 E RICE PL STE 105
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City | AURORA
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State | CO
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Zip | 80015-1079
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Country | US
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Telephone | 303-961-4566
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Fax |
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Provider Business Mailing Address
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Address Line | 13791 E RICE PL STE 105
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City | AURORA
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State | CO
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Zip | 80015-1079
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Country | US
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Telephone | 303-961-4566
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY PERRY
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Credential |
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Telephone | 303-961-4566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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