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General NPI Number Information
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NPI Number | 1821298944
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Entity Type | Organization
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Legal Business Name | ROBERT W PERRY, INC.
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 7414 93RD ST
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City | LUBBOCK
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State | TX
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Zip | 79424-4940
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Country | US
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Telephone | 806-866-2749
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Fax | 806-866-2748
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Provider Business Mailing Address
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Address Line | 7414 93RD ST
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City | LUBBOCK
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State | TX
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Zip | 79424-4940
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Country | US
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Telephone | 806-866-2749
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Fax | 806-866-2748
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT W. PERRY
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Credential | OTR
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Telephone | 806-866-2749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 001254
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License Number State | TX
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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 | 1018752
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License Number State | TX
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