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General NPI Number Information
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NPI Number | 1609813633
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Entity Type | Individual
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Provider Name | CHRISTINA M. BERRY LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 166 1/2 VINE ST
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City | SALEM
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State | OH
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Zip | 44460-2939
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Country | US
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Telephone | 330-332-1514
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Fax | 330-332-4938
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Provider Business Mailing Address
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Address Line | 40722 STATE ROUTE 154
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City | LISBON
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State | OH
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Zip | 44432-8500
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Country | US
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Telephone | 330-424-9573
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Fax | 330-424-7140
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C 0500699
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E0500699
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License Number State | OH
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