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General NPI Number Information
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NPI Number | 1447988209
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Entity Type | Individual
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Provider Name | ERICA R BERRY M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 8449 FM 471 S
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City | CASTROVILLE
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State | TX
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Zip | 78009-5313
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Country | US
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Telephone | 830-931-2243
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Fax |
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Provider Business Mailing Address
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Address Line | 197 COUNTY ROAD 367
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City | HONDO
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State | TX
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Zip | 78861-6582
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Country | US
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Telephone | 210-288-6206
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 104535
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License Number State |
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