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General NPI Number Information
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NPI Number | 1538728795
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Entity Type | Individual
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Provider Name | MARY BETH PERRY
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Gender | Female
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 2338 STATE AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4361
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Country | US
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Telephone | 850-872-0303
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Fax | 850-872-0305
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Provider Business Mailing Address
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Address Line | UCLA ANESTHESIOLOGY 757 WESTWOOD PLAZA SUITE 3325
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City | LOS ANGELES
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State | CA
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Zip | 90095-7403
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Country | US
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Telephone | 310-267-3890
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11007095
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN95179984
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License Number State | CA
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