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General NPI Number Information
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NPI Number | 1396900528
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Entity Type | Organization
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Legal Business Name | DECISION HEIGHT, INC
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 1201 S MAIN ST STE 110
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City | BOERNE
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State | TX
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Zip | 78006-2833
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Country | US
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Telephone | 830-249-6000
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Fax | 830-816-6002
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Provider Business Mailing Address
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Address Line | PO BOX 339
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City | BOERNE
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State | TX
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Zip | 78006-0339
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Country | US
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Telephone | 830-249-6000
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Fax | 830-816-6002
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MICHELLE D BERRY
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Credential | D.O
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Telephone | 830-249-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | H9798
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License Number State | TX
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