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General NPI Number Information
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NPI Number | 1447116017
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Entity Type | Organization
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Legal Business Name | BERRYGOOD TRANSPORTATION LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2625 SANDY PLAINS RD STE 205
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City | MARIETTA
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State | GA
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Zip | 30066-4291
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Country | US
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Telephone | 678-698-6313
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 SANDY PLAINS RD STE 205
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City | MARIETTA
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State | GA
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Zip | 30066-4291
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUSTIN BERRY
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Credential |
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Telephone | 678-698-6313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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