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General NPI Number Information
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NPI Number | 1306132329
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Entity Type | Individual
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Provider Name | DEBRA PERRY RN
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Gender | Female
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 232 CEDAR ST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1610
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Country | US
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Telephone | 203-503-3300
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Fax | 203-781-0276
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Provider Business Mailing Address
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Address Line | 913 STATE ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-3926
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Country | US
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Telephone | 203-503-3351
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | R45126
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License Number State | CT
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