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General NPI Number Information
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NPI Number | 1598786105
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Entity Type | Organization
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Legal Business Name | TEDDY BEAR OBSTETRICS & GYNECOLOGY PS
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 711 S AUBURN ST SUITE P
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City | KENNEWICK
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State | WA
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Zip | 99336-5665
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Country | US
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Telephone | 509-582-0400
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Fax | 509-582-0408
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Provider Business Mailing Address
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Address Line | 711 S AUBURN ST SUITE P
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City | KENNEWICK
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State | WA
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Zip | 99336-5665
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Country | US
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Telephone | 509-582-0400
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Fax | 509-582-0408
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN CHRISTIAN PERRY
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Credential | M.D.
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Telephone | 509-582-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 00025747
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 00025747
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License Number State | WA
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