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General NPI Number Information
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NPI Number | 1144898453
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Entity Type | Individual
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Provider Name | DAVID ANDREW BERRY PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD
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City | BALTIMORE
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State | MD
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Zip | 21239-2945
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Country | US
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Telephone | 443-444-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 199 GLENDOBBIN LN
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City | WINCHESTER
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State | VA
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Zip | 22603-3314
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Country | US
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Telephone | 540-450-7641
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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