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General NPI Number Information
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NPI Number | 1851680656
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Entity Type | Organization
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Legal Business Name | PERLL DIAGNOSTICS INC
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 5010 RITTER RD SUITE 104
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City | MECHANICSBURG
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State | PA
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Zip | 17055
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Country | US
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Telephone | 717-691-1500
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Fax | 717-691-5551
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Provider Business Mailing Address
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Address Line | 5010 RITTER RD SUITE 104
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4828
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Country | US
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Telephone | 717-691-1500
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Fax | 717-691-5551
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS FERYAL NAWAZ
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Credential |
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Telephone | 570-394-2776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | PA
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