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General NPI Number Information
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NPI Number | 1770623571
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Entity Type | Individual
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Provider Name | CHRISTOPHER PERRIE DDS, MD
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 32 PARKING PLZ SUITE 502
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City | ARDMORE
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State | PA
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Zip | 19003-2415
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Country | US
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Telephone | 215-528-3439
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Fax |
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Provider Business Mailing Address
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Address Line | 32 PARKING PLZ SUITE 502
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City | ARDMORE
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State | PA
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Zip | 19003-2415
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Country | US
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Telephone | 215-528-3439
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS037460
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License Number State | PA
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