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General NPI Number Information
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NPI Number | 1215705587
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Entity Type | Individual
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Provider Name | DESTINEE PERKINS
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Gender | Female
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 318 S MAIN STREET
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City | RUTLAND
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State | VT
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Zip | 05701
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Country | US
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Telephone | 802-775-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 7 RESERVOIR DR
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City | QUEENSBURY
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State | NY
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Zip | 12804-2110
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 071139
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 033.0135627
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License Number State | VT
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