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General NPI Number Information
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NPI Number | 1578997292
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Entity Type | Organization
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Legal Business Name | HERCARE INC
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | #1 ESTATE CANE SUNSHINE MALL SUITE 205
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City | FREDERIKSTED
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State | VI
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Zip | 00840
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Country | US
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Telephone | 340-773-0007
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Fax | 340-772-5755
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Provider Business Mailing Address
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Address Line | PO BOX 216
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City | CHRISTIANSTED
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State | VI
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Zip | 00821-0216
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Country | US
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Telephone | 340-773-0007
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Fax | 340-772-5755
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHELE BARBARA BERKELEY
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Credential | M.D.
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Telephone | 340-277-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 1153
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License Number State | VI
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