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General NPI Number Information
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NPI Number | 1336268127
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Entity Type | Individual
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Provider Name | DAN L. PERRY JR. D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4310 OLD SHELL RD STE B
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City | MOBILE
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State | AL
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Zip | 36608-2046
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Country | US
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Telephone | 251-343-1559
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Fax | 251-343-1604
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Provider Business Mailing Address
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Address Line | 4310 OLD SHELL RD STE B
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City | MOBILE
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State | AL
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Zip | 36608-2046
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Country | US
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Telephone | 251-343-1559
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Fax | 251-343-1604
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4729
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License Number State | AL
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