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NPI Code Detail

MEDICARE: RAFAEL PEREZ

MEDICARE: RAFAEL PEREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst4323NC

General Provider Information

NPI Number : 1083129928
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAEL PEREZ
Provider Business Mailing Address
First Line : 920 CAMBRIDGE ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-5300
Country : US
Telephone Number : 910-493-3555
Fax Number : 910-493-3520
Provider Business Practice Location Address
First Line : 920 CAMBRIDGE ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-5300
Country : US
Telephone Number : 910-493-3555
Fax Number : 910-493-3520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2017
Last Update Date : 05/11/2026

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Directions to “ RAFAEL PEREZ ” Practice Location

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