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General NPI Number Information
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NPI Number | 1740226679
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Entity Type | Organization
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Legal Business Name | SAUNDRA J PERRY RPT PC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 57190 MAIN RD
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City | SOUTHOLD
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State | NY
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Zip | 11971-4750
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Country | US
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Telephone | 631-765-3620
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Fax | 631-765-0013
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Provider Business Mailing Address
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Address Line | 57190 MAIN RD PO BOX 1824
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City | SOUTHOLD
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State | NY
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Zip | 11971-4750
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Country | US
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Telephone | 631-765-3620
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Fax | 631-765-0013
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. SAUNDRA J PERRY
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Credential | P.T..
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Telephone | 631-765-3620
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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 | 06894
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License Number State | NY
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