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General NPI Number Information
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NPI Number | 1992939771
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Entity Type | Individual
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Provider Name | DARRELL A. PERRY
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Gender | Male
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 05/08/2009
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Provider Practice Location Address
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Address Line | 2251 FLORIN RD STE 108
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City | SACRAMENTO
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State | CA
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Zip | 95822-4478
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Country | US
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Telephone | 916-665-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 4451 ORINDA WAY
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City | SACRAMENTO
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State | CA
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Zip | 95820-2931
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Country | US
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Telephone | 916-519-9017
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 923
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License Number State | CA
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