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General NPI Number Information
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NPI Number | 1205814399
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Entity Type | Individual
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Provider Name | JOSEPH LEWIS PEREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 12/20/2014
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Provider Practice Location Address
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Address Line | 300 E MAIN ST 10TH FLOOR-HSWL OPERATIONAL MEDICINE
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City | NORFOLK
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State | VA
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Zip | 23510-1753
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Country | US
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Telephone | 757-628-4338
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Fax | 877-991-6134
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Provider Business Mailing Address
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Address Line | 173 GREENGABLE WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4274
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Country | US
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Telephone | 917-686-0201
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Fax | 877-991-6134
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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 | MD10974
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 050357
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License Number State | CT
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