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General NPI Number Information
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NPI Number | 1497832000
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Entity Type | Individual
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Provider Name | LOUIS EDWARD PERRAUT MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/16/2012
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Provider Practice Location Address
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Address Line | 70 THOMAS JOHNSON DR SUITE 120
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City | FREDERICK
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State | MD
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Zip | 21702-4361
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Country | US
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Telephone | 240-575-9713
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Fax | 240-575-9792
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Provider Business Mailing Address
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Address Line | 8220 BURNING TREE RD
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City | BETHESDA
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State | MD
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Zip | 20817-2906
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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 |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D24984
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License Number State | MD
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