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General NPI Number Information
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NPI Number | 1639044001
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Entity Type | Individual
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Provider Name | MS. TAYLOR D BERRY
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1330 W RAMSEY ST STE B
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City | BANNING
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State | CA
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Zip | 92220-4477
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Country | US
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Telephone | 951-849-7142
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Fax |
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Provider Business Mailing Address
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Address Line | 14916 STEPHENSON ST
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City | MORENO VALLEY
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State | CA
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Zip | 92555-6328
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Country | US
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Telephone | 951-489-8583
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | CA
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