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General NPI Number Information
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NPI Number | 1780840751
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Entity Type | Individual
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Provider Name | SCOTT D PERRY MD, PT
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Gender | Male
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 7000 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-5400
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Country | US
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Telephone | 423-202-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 MARSHALL ST
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City | HOUSTON
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State | TX
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Zip | 77098-2802
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Country | US
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Telephone | 423-202-4050
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5679
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P6501
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License Number State | TX
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