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General NPI Number Information
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NPI Number | 1336072479
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Entity Type | Individual
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Provider Name | MICHAEL PERRY MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 200 HAWKINS DR
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City | IOWA CITY
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State | IA
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Zip | 52242-1009
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Country | US
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Telephone | 319-356-4076
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Fax |
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Provider Business Mailing Address
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Address Line | 4116 N LARKIN ST
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City | SHOREWOOD
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State | WI
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Zip | 53211-1936
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Country | US
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Telephone | 414-312-3979
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | R-13860
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License Number State | IA
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