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General NPI Number Information
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NPI Number | 1609962828
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Entity Type | Individual
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Provider Name | MICHAEL DALE PERRIGAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 73 OLD WEST ADAMS ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-1941
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Country | US
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Telephone | 931-484-0042
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Fax | 931-456-2472
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Provider Business Mailing Address
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Address Line | PO BOX 2929 CROSSVILLE GYNECOLOGY ASSOCIATES PC
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City | CROSSVILLE
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State | TN
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Zip | 38557-2929
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Country | US
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Telephone | 931-484-0042
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Fax | 931-456-2472
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD0000016889
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License Number State | TN
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