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General NPI Number Information
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NPI Number | 1386300507
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Entity Type | Individual
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Provider Name | OLIN NICHOLAS PERKINS PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 08/31/2025
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Provider Practice Location Address
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Address Line | 2090 WALLUM LAKE RD
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City | PASCOAG
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State | RI
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Zip | 02859-1813
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Country | US
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Telephone | 401-567-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 WALLUM LAKE RD
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City | PASCOAG
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State | RI
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Zip | 02859-1813
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Country | US
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Telephone | 401-567-5400
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 030779
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 63170
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.008492RX
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01645
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA063251
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License Number State | PA
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