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General NPI Number Information
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NPI Number | 1467554345
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Entity Type | Organization
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Legal Business Name | JOHN E PEREZ CORPORATION
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3465 PINE MILL RD
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City | PARIS
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State | TX
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Zip | 75460-4938
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Country | US
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Telephone | 903-784-8637
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Fax | 903-737-9638
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Provider Business Mailing Address
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Address Line | 3465 PINE MILL RD
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City | PARIS
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State | TX
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Zip | 75460-4938
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Country | US
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Telephone | 903-784-8637
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Fax | 903-737-9638
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Authorized Official
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Title or Position | OWNER DISPENSER
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Name | MR. JOHN ERIC PEREZ
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Credential | AUDIOPROSTHOLOGIST
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Telephone | 903-784-8637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 50143
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License Number State | TX
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