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NPI 1356339188

NPI 1356339188 : ANTHONY S PERKINS MD : HENDERSON, KY

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General NPI Number Information
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    NPI Number           |    1356339188
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY S PERKINS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/06/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1305 N ELM ST 
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    City                 |    HENDERSON
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    State                |    KY
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    Zip                  |    42420-2783
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    Country              |    US
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    Telephone            |    812-471-1591
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    Fax                  |    812-471-6650
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Provider Business Mailing Address
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    Address Line         |    PO BOX 436 
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    City                 |    HENDERSON
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    State                |    KY
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    Zip                  |    42419-0436
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    Country              |    US
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    Telephone            |    812-471-1591
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    Fax                  |    812-471-6650
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    27927
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    License Number State |    KY
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