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General NPI Number Information
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NPI Number | 1164770277
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Entity Type | Individual
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Provider Name | MR. JAMES H PERRY JR.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 2921 E 91ST ST
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City | TULSA
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State | OK
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Zip | 74137-3322
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Country | US
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Telephone | 918-693-3793
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 N ROSEDALE AVE
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City | TULSA
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State | OK
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Zip | 74127-3126
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Country | US
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Telephone | 918-282-7118
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | G083022267
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License Number State | OK
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