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General NPI Number Information
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NPI Number | 1477575439
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Entity Type | Organization
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Legal Business Name | MICHAEL A. PERINI, M.D., P.C.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11601 IRON BRIDGE RD SUITE 206
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City | CHESTER
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State | VA
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Zip | 23831-1466
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Country | US
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Telephone | 804-796-2220
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Fax | 804-796-2997
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Provider Business Mailing Address
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Address Line | PO BOX 2624
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City | CHESTERFIELD
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State | VA
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Zip | 23832-9124
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Country | US
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Telephone | 804-796-2220
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Fax | 804-796-2997
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL A. PERINI
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Credential | M.D.
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Telephone | 80479622220
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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 | 0101230768
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License Number State | VA
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