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NPI 1578570016

NPI 1578570016 : ORREN Z PERLMAN MD : PETALUMA, CA

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General NPI Number Information
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    NPI Number           |    1578570016
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    Entity Type          |    Individual 
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    Provider Name        |    ORREN Z PERLMAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    10/14/2015
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Provider Practice Location Address
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    Address Line         |    101 H ST SUITE N
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    City                 |    PETALUMA
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    State                |    CA
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    Zip                  |    94952-5152
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    Country              |    US
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    Telephone            |    707-523-9423
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    Fax                  |    707-542-9423
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Provider Business Mailing Address
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    Address Line         |    101 H ST SUITE N
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    City                 |    PETALUMA
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    State                |    CA
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    Zip                  |    94952-5152
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    Country              |    US
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    Telephone            |    707-523-9423
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    Fax                  |    707-542-9423
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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       |    A53195
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    License Number State |    CA
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