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General NPI Number Information
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NPI Number | 1487420683
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Entity Type | Individual
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Provider Name | CHRISTINA MACROPOULOS BERRY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 125 SOUTHERN JUNCTION BLVD
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City | POOLER
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State | GA
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Zip | 31322-2214
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Country | US
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Telephone | 912-348-8350
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Fax |
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Provider Business Mailing Address
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Address Line | 11 FLAGSHIP LN
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City | HILTON HEAD
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State | SC
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Zip | 29926-1968
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT890026
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License Number State | GA
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