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General NPI Number Information
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NPI Number | 1295223584
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Entity Type | Individual
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Provider Name | EMMA LA PERLA MD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 170 HAZARD AVE STE 2
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City | ENFIELD
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State | CT
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Zip | 06082-5421
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Country | US
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Telephone | 860-763-4001
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Fax | 860-749-5592
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Provider Business Mailing Address
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Address Line | 170 HAZARD AVE STE 2
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City | ENFIELD
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State | CT
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Zip | 06082-5421
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Country | US
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Telephone | 860-763-4001
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Fax | 860-749-5592
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 72408
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License Number State | CT
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