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General NPI Number Information
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NPI Number | 1629586334
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Entity Type | Individual
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Provider Name | LORI PERKINS MPT
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Gender | Female
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 3820 NINE MILE RD
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City | RICHMOND
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State | VA
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Zip | 23223-4831
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Country | US
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Telephone | 804-652-3671
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Fax |
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Provider Business Mailing Address
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Address Line | 2813 DILLARD PL
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City | GLEN ALLEN
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State | VA
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Zip | 23060-2043
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Country | US
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Telephone | 804-338-6066
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305004911
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License Number State | VA
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