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General NPI Number Information
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NPI Number | 1871604215
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Entity Type | Organization
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Legal Business Name | CLIFFORD C PERERA MD INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 555 HAMPSHIRE RD
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City | AKRON
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State | OH
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Zip | 44313
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Country | US
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Telephone | 330-869-9198
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Fax | 330-869-9198
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Provider Business Mailing Address
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Address Line | 555 HAMPSHIRE RD
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City | AKRON
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State | OH
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Zip | 44313
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Country | US
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Telephone | 330-869-9198
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Fax | 330-869-9198
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLIFFORD C PERERA
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Credential | MD
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Telephone | 330-869-9198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35037134
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License Number State | OH
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