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General NPI Number Information
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NPI Number | 1184911893
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Entity Type | Individual
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Provider Name | CHARLOTTE L PERRY ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 4646 NW FIELDING RD
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City | TOPEKA
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State | KS
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Zip | 66618-2588
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Country | US
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Telephone | 785-286-4475
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Fax | 785-286-4423
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Provider Business Mailing Address
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Address Line | DEPT CH 14389
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City | PALATINE
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State | IL
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Zip | 60055-4389
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Country | US
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Telephone | 785-295-5307
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Fax | 785-270-7646
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-75341
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License Number State | KS
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