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General NPI Number Information
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NPI Number | 1518199348
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Entity Type | Individual
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Provider Name | JENNIFER MARIE BERRY P.T.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 50 S STEELE ST SUITE 550
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City | DENVER
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State | CO
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Zip | 80209-2805
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Country | US
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Telephone | 303-393-6533
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Fax | 303-393-6533
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Provider Business Mailing Address
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Address Line | 2141 MEADE ST
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City | DENVER
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State | CO
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Zip | 80211-5057
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Country | US
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Telephone | 303-993-2319
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Fax | 303-393-7846
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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 | 10409
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License Number State | CO
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