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General NPI Number Information
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NPI Number | 1396821658
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Entity Type | Individual
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Provider Name | ANTOINETTE PERRIE D.C., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 19906 47TH AVE
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City | FLUSHING
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State | NY
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Zip | 11358-3952
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Country | US
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Telephone | 718-224-0444
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Fax | 718-264-1118
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Provider Business Mailing Address
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Address Line | 19906 47TH AVE
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City | FLUSHING
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State | NY
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Zip | 11358-3952
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Country | US
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Telephone | 718-224-0444
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Fax | 718-264-1118
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X002812-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 001000-1
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License Number State | NY
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