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Contact Information

TABITHA PERISH
213 20TH ST E
WEST FARGO, ND58078-2373
 Phone: 701-729-0509
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1912867565
Entity Organization
Organization subpart 1 Not specified
Enumeration date 11/17/2025
Last updated 11/17/2025 - About 7 months ago
Identifiers
ND License # PER-96-8802
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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