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General NPI Number Information
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NPI Number | 1548072952
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Entity Type | Individual
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Provider Name | CARLEE SHIFKO BERRY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 200 ABRAHAM FLEXNER WAY
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City | LOUISVILLE
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State | KY
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Zip | 40202-2877
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Country | US
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Telephone | 724-961-0497
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Fax |
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Provider Business Mailing Address
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Address Line | 968 GOSS AVE
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City | LOUISVILLE
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State | KY
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Zip | 40217-1269
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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 | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | RP455886
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | 023670
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License Number State | KY
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