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General NPI Number Information
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NPI Number | 1447722970
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Entity Type | Individual
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Provider Name | DUSTIN RYAN PERKINS LMFT
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Gender | Male
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 3500 REDWOOD RIDGE WAY
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0504
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Country | US
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Telephone | 361-523-8232
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 REDWOOD RIDGE WAY
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0504
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 203231
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MI1175
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3320
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License Number State | NV
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