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General NPI Number Information
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NPI Number | 1598679052
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Entity Type | Organization
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Legal Business Name | PERRY PRACTICES PLLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 155 BARNWOOD DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-2585
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Country | US
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Telephone | 859-667-1398
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Fax |
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Provider Business Mailing Address
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Address Line | 155 BARNWOOD DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-2585
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Country | US
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Telephone | 859-667-1398
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | JOSEPH SHIPPEE
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Credential |
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Telephone | 904-472-3839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | NULL
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