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General NPI Number Information
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NPI Number | 1790985919
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Entity Type | Organization
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Legal Business Name | TERI PERRYMAN MD PA
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 513 GRANADA PLACE
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City | KERRVILLE
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State | TX
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Zip | 78028
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Country | US
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Telephone | 830-896-2758
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Fax |
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Provider Business Mailing Address
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Address Line | 513 GRANADA PLACE
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City | KERRVILLE
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State | TX
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Zip | 78028
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TERI PERRYMAN
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Credential |
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Telephone | 830-896-2758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K0358
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License Number State | TX
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