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General NPI Number Information
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NPI Number | 1124947619
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Entity Type | Individual
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Provider Name | KORBYN PERPICH DDS
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Gender | Female
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 1121 TOWN CENTRE DR STE 200
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City | EAGAN
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State | MN
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Zip | 55123-1217
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Country | US
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Telephone | 651-454-4771
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 W 66TH ST APT 332
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City | RICHFIELD
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State | MN
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Zip | 55423-2087
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Country | US
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Telephone |
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D15514
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License Number State | MN
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