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General NPI Number Information
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NPI Number | 1215015748
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Entity Type | Individual
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Provider Name | CHAD C PERRY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 881 N TARRANT PARKWAY
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City | KELLER
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State | TX
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Zip | 76248-6860
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Country | US
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Telephone | 817-812-2082
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Fax | 817-812-2830
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Provider Business Mailing Address
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Address Line | 881 N TARRANT PKWY
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City | KELLER
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State | TX
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Zip | 76248-6860
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Country | US
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Telephone | 817-812-2082
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Fax | 817-812-2830
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21037
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License Number State | TX
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