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General NPI Number Information
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NPI Number | 1932346020
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Entity Type | Individual
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Provider Name | TAMARA PERRY
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Gender | Female
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 331 S FRANKLIN ST SUITE 309
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-5712
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Country | US
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Telephone | 919-225-9761
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 153
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City | DURHAM
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State | NC
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Zip | 27702-0153
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Country | US
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Telephone | 919-226-3180
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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