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General NPI Number Information
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NPI Number | 1396024402
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Entity Type | Individual
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Provider Name | ADAM PERRY DVM
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Gender | Male
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 1000 CENTRAL RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005
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Country | US
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Telephone | 847-670-8470
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Fax |
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Provider Business Mailing Address
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Address Line | 3135 SCENICWOOD LN
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City | WOODRIDGE
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State | IL
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Zip | 60517-3713
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Country | US
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Telephone |
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 390005576
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License Number State | IL
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