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General NPI Number Information
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NPI Number | 1467409409
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Entity Type | Individual
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Provider Name | ADAM JAY PERLIN OD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 05/24/2010
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Provider Practice Location Address
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Address Line | 1192 WHITE HORSE RD
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City | VOORHEES
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State | NJ
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Zip | 08043-2104
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Country | US
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Telephone | 856-428-0100
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Fax | 856-428-6788
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Provider Business Mailing Address
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Address Line | 4000 GYPSY LN UNIT 548
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City | PHILADELPHIA
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State | PA
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Zip | 19129-5460
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Country | US
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Telephone | 215-432-4048
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00541200
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License Number State | NJ
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