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General NPI Number Information
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NPI Number | 1437420379
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Entity Type | Organization
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Legal Business Name | DORIS A. PERRY
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 3923 BRADEN DR N
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City | HOUSTON
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State | TX
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Zip | 77047-6796
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Country | US
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Telephone | 832-865-6024
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Fax |
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Provider Business Mailing Address
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Address Line | 3923 BRADEN DR N
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City | HOUSTON
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State | TX
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Zip | 77047-6796
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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 | DIRECTOR
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Name | MS. DORIS A PERRY
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Credential |
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Telephone | 832-865-6024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 23892
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License Number State | TX
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