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General NPI Number Information
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NPI Number | 1881731404
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Entity Type | Individual
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Provider Name | LAWRENCE ANTHONY PERIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 10198 SW VILLAGE PKWY BLDG 2
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City | PORT ST LUCIE
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State | FL
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Zip | 34987-2594
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Country | US
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Telephone | 772-934-4990
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Fax | 772-934-4991
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Provider Business Mailing Address
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Address Line | 2336 SE OCEAN BLVD # 232
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City | STUART
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State | FL
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Zip | 34996-3310
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Country | US
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Telephone | 215-519-1832
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Fax | 848-213-0237
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0058850
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD035068L
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License Number State | PA
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