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NPI 1922035302

NPI 1922035302 : JAMES HOWARD PERRY M.D. : HENDERSON, NC

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General NPI Number Information
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    NPI Number           |    1922035302
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES HOWARD PERRY M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/28/2006
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    Last Update Date     |    10/27/2009
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Provider Practice Location Address
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    Address Line         |    100 W PARKVIEW DR 
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    City                 |    HENDERSON
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    State                |    NC
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    Zip                  |    27536-5923
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    Country              |    US
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    Telephone            |    252-438-3549
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    Fax                  |    252-438-2084
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Provider Business Mailing Address
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    Address Line         |    100 W PARKVIEW DR 
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    City                 |    HENDERSON
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    State                |    NC
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    Zip                  |    27536-5923
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    Country              |    US
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    Telephone            |    252-438-3549
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    Fax                  |    252-438-2084
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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       |    22361
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    License Number State |    NC
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