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General NPI Number Information
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NPI Number | 1538424981
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Entity Type | Individual
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Provider Name | EMILY CATHERINE PERRY M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 601 S 169 HWY
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City | SMITHVILLE
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State | MO
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Zip | 64089
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Country | US
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Telephone | 816-532-3700
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Fax | 816-932-7957
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Provider Business Mailing Address
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Address Line | 901 E 104TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64131-4517
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Country | US
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Telephone | 816-502-7117
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Fax | 816-932-9670
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2012017905
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License Number State | MO
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