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General NPI Number Information
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NPI Number | 1134472368
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Entity Type | Individual
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Provider Name | LEAH MARIE BERRY FNP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 101 W 8TH AVE SHMC 3 NORTH
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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Country | US
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Telephone | 509-474-2072
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Fax | 509-227-7070
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Provider Business Mailing Address
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Address Line | PO BOX 31001-4114
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City | PASADENA
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State | CA
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Zip | 91110-4114
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Country | US
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Telephone | 509-474-7500
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Fax | 509-227-7070
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP60317523
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60317523
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License Number State | WA
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