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General NPI Number Information
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NPI Number | 1285726505
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Entity Type | Individual
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Provider Name | JOHN DIXON PERRRINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | UNIVERSITY HEALTH SERVICE B 163 KENTUCKY CLINIC
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City | LEXINGTON
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State | KY
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Zip | 40536-0284
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Country | US
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Telephone | 859-323-5823
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Fax |
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Provider Business Mailing Address
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Address Line | 205 RIDGEWAY RD
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City | LEXINGTON
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State | KY
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Zip | 40502-1917
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Country | US
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Telephone | 859-268-0306
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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 | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 14035
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 14035
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License Number State | KY
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