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General NPI Number Information
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NPI Number | 1285550194
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Entity Type | Individual
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Provider Name | DR. GRACE PERNA
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Gender | Female
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 650 E 25TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2716
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Country | US
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Telephone | 816-235-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BREVITY CT
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City | BINGHAMTON
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State | NY
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Zip | 13905-4113
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Country | US
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Telephone | 607-644-5246
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2026027838
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License Number State | MO
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