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General NPI Number Information
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NPI Number | 1578816088
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Entity Type | Individual
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Provider Name | DENNIS ALAN PERRY N.D.
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Gender | Male
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Dates
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Enumeration Date | 10/22/2012
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 2320 WILCOMBE DR
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City | CAMBRIA
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State | CA
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Zip | 93428
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Country | US
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Telephone | 503-327-6642
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Fax | 888-233-5452
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Provider Business Mailing Address
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Address Line | 2320 WILCOMBE DR
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City | CAMBRIA
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State | CA
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Zip | 93428-5246
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Country | US
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Telephone | 503-327-6642
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Fax | 888-233-5452
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1927
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NDF1080
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License Number State | CA
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