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General NPI Number Information
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NPI Number | 1447898093
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Entity Type | Individual
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Provider Name | EVAN PERKINS DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 4763 BARWICK DR STE 107
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City | FORT WORTH
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State | TX
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Zip | 76132-1531
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Country | US
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Telephone | 817-294-5021
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Fax | 817-294-9310
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Provider Business Mailing Address
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Address Line | 4763 BARWICK DR STE 107
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City | FORT WORTH
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State | TX
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Zip | 76132-1531
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Country | US
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Telephone | 817-294-5021
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Fax | 817-294-9310
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 33727
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 33272
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License Number State | TX
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