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General NPI Number Information
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NPI Number | 1659008043
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Entity Type | Individual
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Provider Name | BERNARDO ERIC PERKINSON DC
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Gender | Male
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2700 WOODRUFF RD STE L
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-3642
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Country | US
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Telephone | 864-779-5433
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Fax | 864-779-5433
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Provider Business Mailing Address
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Address Line | 203 VALHALLA LN
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-6306
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC4840
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License Number State | SC
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