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NPI 1710929641

NPI 1710929641 : JEFFREY D. PERKINS MD : LONGMONT, CO

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General NPI Number Information
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    NPI Number           |    1710929641
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY D. PERKINS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/12/2006
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    Last Update Date     |    03/20/2025
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Provider Practice Location Address
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    Address Line         |    1715 IRON HORSE DR STE 100 
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    City                 |    LONGMONT
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    State                |    CO
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    Zip                  |    80501-9617
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    Country              |    US
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    Telephone            |    720-494-4700
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    Fax                  |    720-494-4706
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Provider Business Mailing Address
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    Address Line         |    PO BOX 35380 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89133-5380
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    Country              |    US
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    Telephone            |    719-463-5600
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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        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    DR.0034988
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    License Number State |    CO
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