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General NPI Number Information
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NPI Number | 1215974944
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Entity Type | Individual
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Provider Name | CHRISTOPHER PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 874 LANIER AVE W STE 220
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7659
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Country | US
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Telephone | 678-833-1444
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Fax | 678-833-1444
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Provider Business Mailing Address
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Address Line | 5578 FARMSIDE WAY STE 300
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City | JOHNS CREEK
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State | GA
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Zip | 30022-6353
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Country | US
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Telephone | 954-802-8835
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Fax | 678-833-1445
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 065875
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 065875
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 065875
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 065875
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License Number State | GA
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