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General NPI Number Information
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NPI Number | 1508481995
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Entity Type | Organization
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Legal Business Name | ALLYN G PERKINS DMD LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 1909 RITNER HWY STE 2
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City | CARLISLE
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State | PA
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Zip | 17013-9310
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Country | US
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Telephone | 717-249-1646
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Fax | 717-249-0951
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Provider Business Mailing Address
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Address Line | 1909 RITNER HWY STE 2
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City | CARLISLE
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State | PA
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Zip | 17013-9310
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Country | US
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Telephone | 717-249-1646
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Fax | 717-249-0951
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KIMBERLY L MOYLE
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Credential |
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Telephone | 717-249-1646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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