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General NPI Number Information
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NPI Number | 1568709293
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Entity Type | Individual
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Provider Name | ANDREW JOSEPH BERRY PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 1111 E MCDOWELL RD DEPARTMENT OF PHARMACY SERVICES
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City | PHOENIX
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State | AZ
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Zip | 85006-2612
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Country | US
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Telephone | 602-839-2297
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Fax | 602-839-6742
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Provider Business Mailing Address
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Address Line | 11202 N 27TH PL
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City | PHOENIX
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State | AZ
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Zip | 85028-2563
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Country | US
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Telephone | 602-478-4946
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Fax | 602-839-6742
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AZRPH019492
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License Number State | AZ
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