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General NPI Number Information
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NPI Number | 1982734653
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Entity Type | Organization
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Legal Business Name | PHILIP M PERRINO P.C.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 815 CHAPEL ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3001
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Country | US
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Telephone | 203-865-6727
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Fax | 203-865-8040
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Provider Business Mailing Address
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Address Line | 815 CHAPEL ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3001
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Country | US
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Telephone | 203-865-6727
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Fax | 203-865-8040
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Authorized Official
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Title or Position | OWNER
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Name | PHILIP M PERRINO
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Credential | O.D.
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Telephone | 203-865-6727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 002286
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License Number State | CT
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