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General NPI Number Information
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NPI Number | 1588000772
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Entity Type | Organization
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Legal Business Name | JENNIFER M. PERRY, PH.D., PC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 3272 SALT CREEK CIR SUITE B
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City | LINCOLN
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State | NE
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Zip | 68504-4759
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Country | US
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Telephone | 402-477-0507
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Fax | 402-477-0820
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Provider Business Mailing Address
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Address Line | 3272 SALT CREEK CIR SUITE B
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City | LINCOLN
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State | NE
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Zip | 68504-4759
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Country | US
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Telephone | 402-477-0507
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Fax | 402-477-0820
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER MARJORIE PERRY
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Credential | PH.D.
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Telephone | 402-477-0507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 527
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License Number State | NE
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