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General NPI Number Information
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NPI Number | 1528566197
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Entity Type | Organization
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Legal Business Name | JON PERLSTEIN, M.D., INC
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 2 MEDICAL PLAZA DR STE 275
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City | ROSEVILLE
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State | CA
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Zip | 95661-3051
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Country | US
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Telephone | 916-462-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 243 BERRYWOOD CT
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City | VACAVILLE
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State | CA
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Zip | 95688-1041
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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 | PRESIDENT
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Name | DR. JON PERLSTEIN
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Credential | MD
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Telephone | 707-321-8991
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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