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General NPI Number Information
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NPI Number | 1295905180
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Entity Type | Organization
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Legal Business Name | HERBERT S. PERRY MD PC
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 65 DOSORIS WAY
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City | GLEN COVE
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State | NY
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Zip | 11542-1553
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Country | US
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Telephone | 516-676-3111
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Fax | 516-671-2757
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Provider Business Mailing Address
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Address Line | 65 DOSORIS WAY
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City | GLEN COVE
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State | NY
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Zip | 11542-1553
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Country | US
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Telephone | 516-676-3111
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Fax | 516-671-2757
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PERRY S. PERRY
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Credential | MD
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Telephone | 516-676-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 092782
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License Number State | NY
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