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General NPI Number Information
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NPI Number | 1477721314
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Entity Type | Organization
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Legal Business Name | PERRY CENTRAL COMMUNITY CORPORATION
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 18677 OLD STATE ROAD 37
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City | LEOPOLD
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State | IN
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Zip | 47551-8081
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Country | US
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Telephone | 812-843-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 18677 OLD STATE ROAD 37
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City | LEOPOLD
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State | IN
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Zip | 47551-8081
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MINDY BENZLER
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Credential |
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Telephone | 517-853-6546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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