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General NPI Number Information
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NPI Number | 1386684355
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Entity Type | Individual
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Provider Name | PERITHA GARLAND PAC
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Gender | Female
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 4000 MIAMISBURG CENTERVILLE RD STE 420
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City | MIAMISBURG
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State | OH
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Zip | 45342-7615
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Country | US
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Telephone | 937-439-4145
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Fax | 937-439-4371
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Provider Business Mailing Address
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Address Line | 7740 WASHINGTON VILLAGE DR STE 110
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City | DAYTON
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State | OH
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Zip | 45459-3994
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Country | US
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Telephone | 937-439-4145
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Fax | 937-439-4371
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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 | 50002005
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License Number State | OH
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