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General NPI Number Information
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NPI Number | 1386794907
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Entity Type | Organization
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Legal Business Name | BERRYHILL MEDICAL PL
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 4785 N 9TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-2497
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Country | US
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Telephone | 850-476-9691
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Fax | 850-476-0777
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Provider Business Mailing Address
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Address Line | 4785 N 9TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-2497
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Country | US
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Telephone | 850-476-9691
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Fax | 850-476-0777
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Authorized Official
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Title or Position | OWNER
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Name | LISBETH VERNALI
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Credential | MD
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Telephone | 850-476-9691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME54994
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License Number State | FL
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