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General NPI Number Information
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NPI Number | 1205845195
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Entity Type | Individual
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Provider Name | RICHARD BRADLEY BERRYHILL D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 290 HILDERBRAND DR NE
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-3906
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Country | US
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Telephone | 404-255-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 290 HILDERBRAND DR NE
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-3906
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Country | US
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Telephone | 404-255-2273
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN013233
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS8240
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License Number State | TN
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