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General NPI Number Information
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NPI Number | 1326877374
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Entity Type | Individual
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Provider Name | JAMES MICHAEL BERRY JR. PA
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Gender | Male
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 9135 RIDGELINE BLVD STE 160
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2395
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Country | US
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Telephone | 720-792-9490
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Fax | 303-648-4781
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Provider Business Mailing Address
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Address Line | 9135 RIDGELINE BLVD STE 160
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2395
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Country | US
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Telephone | 720-792-9490
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Fax | 303-648-4781
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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 | 12457
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License Number State | GA
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