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General NPI Number Information
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NPI Number | 1437166089
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Entity Type | Individual
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Provider Name | JOSEPH M PERAINO PHD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 9090 RIDGELINE BLVD STE 220
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2505
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Country | US
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Telephone | 713-666-1743
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Fax | 281-496-4648
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Provider Business Mailing Address
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Address Line | 9090 RIDGELINE BLVD STE 220
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2505
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Country | US
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Telephone | 713-666-1743
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Fax | 281-496-4648
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3396
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License Number State | CO
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