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General NPI Number Information
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NPI Number | 1538189543
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Entity Type | Individual
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Provider Name | BRIAN E PERSING M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 2809 DENNY AVE
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City | PASCAGOULA
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State | MS
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Zip | 39581-5301
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Country | US
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Telephone | 228-809-5251
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Fax | 228-809-5255
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Provider Business Mailing Address
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Address Line | 2101 HIGHWAY 90
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City | GAUTIER
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State | MS
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Zip | 39553-5340
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Country | US
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Telephone | 228-497-7576
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Fax | 228-497-8869
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18696
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD.29624
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 18696
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 18696
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License Number State | MS
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