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NPI 1336221381

NPI 1336221381 : JOHN FRANCIS PERRY III M.D. : ELVERSON, PA

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General NPI Number Information
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    NPI Number           |    1336221381
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN FRANCIS PERRY III M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/19/2006
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    Last Update Date     |    08/10/2010
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Provider Practice Location Address
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    Address Line         |    25 S PINE ST 
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    City                 |    ELVERSON
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    State                |    PA
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    Zip                  |    19520-9720
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    Country              |    US
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    Telephone            |    610-286-1660
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    Fax                  |    610-286-1662
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Provider Business Mailing Address
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    Address Line         |    PO BOX 210 25 SOUTH PINE STREET
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    City                 |    ELVERSON
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    State                |    PA
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    Zip                  |    19520-0210
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    Country              |    US
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    Telephone            |    610-286-1660
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    Fax                  |    610-286-1662
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    MD013614E
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    License Number State |    PA
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