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General NPI Number Information
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NPI Number | 1306048483
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Entity Type | Organization
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Legal Business Name | TED H PERKINS P A
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 780 US HIGHWAY 1 SUITE 201
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City | VERO BEACH
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State | FL
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Zip | 32962-1660
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Country | US
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Telephone | 772-567-7777
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Fax | 772-778-9382
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Provider Business Mailing Address
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Address Line | 780 US HIGHWAY 1 SUITE 201
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City | VERO BEACH
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State | FL
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Zip | 32962-1660
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Country | US
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Telephone | 772-567-7777
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Fax | 772-778-9382
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TED H PERKINS
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Credential |
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Telephone | 772-567-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0003905
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License Number State | FL
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