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General NPI Number Information
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NPI Number | 1164434031
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Entity Type | Organization
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Legal Business Name | BERRYHILL ORTHOPAEDICS, PA
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 6007 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-4008
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Country | US
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Telephone | 850-626-1461
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Fax | 850-626-3161
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Provider Business Mailing Address
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Address Line | 6007 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-4008
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Country | US
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Telephone | 850-626-1461
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Fax | 850-626-3161
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MRS. JANEL DAWNETTE SUTTON
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Credential |
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Telephone | 850-626-1461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0044109
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License Number State | FL
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