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NPI 1972428449

NPI 1972428449 : CALEB MARK PERRY DPT : LUBBOCK, TX

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General NPI Number Information
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    NPI Number           |    1972428449
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    Entity Type          |    Individual 
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    Provider Name        |    CALEB MARK PERRY DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/12/2026
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    Last Update Date     |    08/17/2026
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Provider Practice Location Address
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    Address Line         |    3838 50TH ST 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79413-3808
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    Country              |    US
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    Telephone            |    806-792-5522
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    Fax                  |    806-785-7582
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Provider Business Mailing Address
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    Address Line         |    622 MOHAWK DR 
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    City                 |    TIOGA
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    State                |    TX
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    Zip                  |    76271-2574
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    Country              |    US
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    Telephone            |    469-647-6570
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1408738
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    License Number State |    TX
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