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General NPI Number Information
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NPI Number | 1457529133
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Entity Type | Individual
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Provider Name | ELZBIETA PERRY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 2223 LIME KILN RD STE 1
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City | GREEN BAY
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State | WI
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Zip | 54311-6238
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Country | US
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Telephone | 920-430-8113
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Fax | 920-430-8122
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Provider Business Mailing Address
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Address Line | 2223 LIME KILN RD STE 1
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City | GREEN BAY
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State | WI
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Zip | 54311-6238
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Country | US
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Telephone | 920-430-8113
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Fax | 920-430-8122
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 51381
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License Number State | WI
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