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General NPI Number Information
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NPI Number | 1194353458
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Entity Type | Individual
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Provider Name | MRS. JODI MARIA PERKINS
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Gender | Female
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 2810 PREMIERE PKWY STE 500
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City | DULUTH
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State | GA
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Zip | 30097-8912
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Country | US
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Telephone | 866-750-5554
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT LA 22763
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City | PASADENA
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State | CA
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Zip | 91185-2763
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Country | US
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Telephone | 866-523-4268
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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 | 1-20-42976
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License Number State | GA
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