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General NPI Number Information
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NPI Number | 1811295686
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Entity Type | Organization
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Legal Business Name | CHAD PERRY LPPC
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 8408 DAVIS BLVD SUITE 250
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City | N RICHLAND HILLS
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State | TX
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Zip | 76182-8685
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Country | US
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Telephone | 817-812-2082
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Fax |
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Provider Business Mailing Address
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Address Line | 8408 DAVIS BLVD SUITE 250
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City | N RICHLAND HILLS
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State | TX
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Zip | 76182-8685
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Country | US
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Telephone | 817-812-2082
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | CHAD C PERRY
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Credential |
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Telephone | 817-812-2082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 21037
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License Number State | TX
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