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General NPI Number Information
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NPI Number | 1063629574
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Entity Type | Organization
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Legal Business Name | ZAIL S. BERRY, MD,MPH,PLLC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3 HAGAN DR
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-3375
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Country | US
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Telephone | 802-879-6661
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Fax | 802-879-9261
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Provider Business Mailing Address
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Address Line | PO BOX 8671
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City | ESSEX
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State | VT
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Zip | 05451-8671
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Country | US
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Telephone | 802-879-6661
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Fax | 802-879-9261
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. ZAIL SUZANNE BERRY
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Credential | M.D.,M.P.H.
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Telephone | 802-879-6661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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