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General NPI Number Information
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NPI Number | 1457814634
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Entity Type | Individual
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Provider Name | BERLYNE GERVAIS NP-C
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Gender | Female
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Dates
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Enumeration Date | 04/13/2019
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 7 CREEK LN
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City | BRISTOL
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State | RI
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Zip | 02809-2401
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Country | US
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Telephone | 212-734-6621
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Fax |
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Provider Business Mailing Address
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Address Line | 6749 CAMELIA DR
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City | MIRAMAR
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State | FL
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Zip | 33023-4846
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Country | US
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Telephone | 786-586-5114
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F03190556
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License Number State | FL
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