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General NPI Number Information
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NPI Number | 1750566402
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Entity Type | Individual
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Provider Name | CRAIG DOUGLAS PERLMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 4250 HEMPSTEAD TPKE SUITE 23
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City | BETHPAGE
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State | NY
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Zip | 11714-5711
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Country | US
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Telephone | 516-520-0001
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Fax | 516-735-1056
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Provider Business Mailing Address
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Address Line | 4250 HEMPSTEAD TPKE SUITE 23
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City | BETHPAGE
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State | NY
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Zip | 11714-5711
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Country | US
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Telephone | 516-520-0001
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Fax | 516-735-1056
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 246437
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License Number State | NY
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