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General NPI Number Information
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NPI Number | 1245339035
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Entity Type | Individual
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Provider Name | MILDRED LEE PERRY ED.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6201 GREENBELT RD SUITE U- 4
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City | BERWYN HEIGHTS
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State | MD
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Zip | 20740-2354
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Country | US
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Telephone | 240-893-4100
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Fax | 301-843-4788
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Provider Business Mailing Address
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Address Line | PO BOX 4734
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City | UPPER MARLBORO
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State | MD
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Zip | 20775-0734
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Country | US
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Telephone | 240-893-4100
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Fax | 301-843-4788
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC0041
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PRC237
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License Number State | DC
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