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General NPI Number Information
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NPI Number | 1467611525
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Entity Type | Organization
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Legal Business Name | BOBBY D. PERRY,M.D.,PA
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 1 SAINT VINCENT CIR STE 150
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5406
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Country | US
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Telephone | 501-552-8720
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Fax | 501-552-4448
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Provider Business Mailing Address
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Address Line | 1 SAINT VINCENT CIR STE 150
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5406
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Country | US
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Telephone | 501-552-8720
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Fax | 501-552-4448
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BOBBY PERRY
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Credential | MD
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Telephone | 501-552-8720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C7732
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License Number State | AR
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