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General NPI Number Information
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NPI Number | 1376758284
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Entity Type | Organization
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Legal Business Name | JAMES M PERKIN LICENSED PSYCHOLOGIST
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4825 TILGHMAN ST
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 610-432-6687
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Fax | 610-366-2049
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Provider Business Mailing Address
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Address Line | 4825 TILGHMAN ST
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 610-432-6687
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Fax | 610-366-2049
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | MR. JAMES M PERKIN
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Credential | MS
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Telephone | 610-432-6687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS004611L
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License Number State | PA
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