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General NPI Number Information
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NPI Number | 1518303106
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Entity Type | Individual
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Provider Name | JENNIFER PERONE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 17050 MEDICAL CENTER DR
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City | BATON ROUGE
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State | LA
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Zip | 70816-3221
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Country | US
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Telephone | 225-761-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 17050 MEDICAL CENTER DR
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City | BATON ROUGE
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State | LA
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Zip | 70816-3221
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Country | US
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Telephone | 225-761-5200
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | BP10046338
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME150518
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 338603
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 338603
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License Number State | LA
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