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General NPI Number Information
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NPI Number | 1538144043
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Entity Type | Organization
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Legal Business Name | DRS. PERLMAN & KOIDIN, P.C.
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 77 BROAD ST
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City | LYNN
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State | MA
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Zip | 01902-5003
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Country | US
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Telephone | 781-599-2900
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Fax | 781-598-1670
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Provider Business Mailing Address
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Address Line | PO BOX 233
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City | SWAMPSCOTT
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State | MA
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Zip | 01907-0333
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Country | US
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Telephone | 781-599-2900
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Fax | 781-598-1670
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Authorized Official
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Title or Position | TREASURER
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Name | STEVEN P. PERLMAN
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Credential | D.D.S., M.SC.D.
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Telephone | 781-599-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 12443
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12700
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License Number State | MA
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