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General NPI Number Information
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NPI Number | 1902979453
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Entity Type | Organization
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Legal Business Name | PERRY KALIS M.D. INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 129 NORTH MAYSVILLE AVENUE SUITE B
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City | SOUTH ZANESVILLE
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State | OH
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Zip | 43701
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Country | US
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Telephone | 740-588-0008
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Fax | 740-588-0143
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Provider Business Mailing Address
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Address Line | 129 NORTH MAYSVILLE AVE SUITE B
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City | SOUTH ZANESVILLE
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State | OH
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Zip | 43701-7507
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Country | US
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Telephone | 740-588-0008
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Fax | 740-588-0143
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PERRY M KALIS
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Credential | M.D.
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Telephone | 740-588-0008
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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 | 35038121K
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License Number State | OH
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