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General NPI Number Information
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NPI Number | 1184696734
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Entity Type | Individual
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Provider Name | GINA M PERRY D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 2295 N SUSQUEHANNA TRL SUITE A
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City | YORK
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State | PA
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Zip | 17404-8495
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Country | US
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Telephone | 717-812-0731
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Fax | 717-812-9848
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Provider Business Mailing Address
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Address Line | 2295 N SUSQUEHANNA TRL SUITE A
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City | YORK
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State | PA
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Zip | 17404-8495
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Country | US
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Telephone | 717-812-0731
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Fax | 717-812-9848
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS010092L
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License Number State | PA
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