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General NPI Number Information
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NPI Number | 1871643387
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Entity Type | Individual
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Provider Name | VICTOR T PERRONE MD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 40 MEDICAL PARK SUITE 505
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City | WHEELING
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State | WV
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Zip | 26003-6392
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Country | US
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Telephone | 304-243-4764
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Fax | 304-243-0404
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Provider Business Mailing Address
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Address Line | 40 MEDICAL PARK SUITE 505
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City | WHEELING
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State | WV
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Zip | 26003-6392
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Country | US
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Telephone | 304-243-4764
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Fax | 304-243-0404
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15735
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35060560
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License Number State | OH
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