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General NPI Number Information
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NPI Number | 1386602381
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Entity Type | Individual
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Provider Name | YVANNE M BERRYER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 829 NE 4TH AVENUE
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City | HOMESTEAD
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State | FL
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Zip | 33030
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Country | US
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Telephone | 305-247-2475
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Fax | 305-357-2499
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Provider Business Mailing Address
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Address Line | 829 NE 4TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4720
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Country | US
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Telephone | 305-247-2475
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Fax | 305-357-2499
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0063507
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License Number State | FL
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