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General NPI Number Information
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NPI Number | 1891345369
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Entity Type | Individual
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Provider Name | MATTHEW JOSEPH PERRI DNP, APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 1025 MARSH ST
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City | MANKATO
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State | MN
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Zip | 56001-4752
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Country | US
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Telephone | 507-385-2639
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Fax |
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Provider Business Mailing Address
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Address Line | 6602 NW 39TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32606-5732
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Country | US
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Telephone | 352-682-5281
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11001823
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7096
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License Number State | MN
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