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General NPI Number Information
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NPI Number | 1942562343
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Entity Type | Organization
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Legal Business Name | CAROL PERRINI LLC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 331 BEACH 149TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11694-1026
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Country | US
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Telephone | 646-642-7226
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Fax | 718-945-3979
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Provider Business Mailing Address
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Address Line | 3-31 BEACH 149 STREET
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City | FAR ROCKAWAY
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State | NY
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Zip | 11694
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Country | US
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Telephone | 646-642-7226
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Fax | 718-945-3979
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Authorized Official
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Title or Position | SOLE PROPRIETORSHIP
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Name | CAROL PERRINI
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Credential | M.S.ED
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Telephone | 646-642-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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