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General NPI Number Information
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NPI Number | 1639403793
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Entity Type | Organization
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Legal Business Name | BERRY ENTERPRISE & CONSULTING
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 2626 S LOOP W SUITE 650M
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City | HOUSTON
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State | TX
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Zip | 77054-2654
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Country | US
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Telephone | 713-585-6017
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Fax |
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Provider Business Mailing Address
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Address Line | 10223 BROADWAY ST SUITE P-604
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City | PEARLAND
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State | TX
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Zip | 77584-7880
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Country | US
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Telephone | 713-585-6017
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER SERVICES
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Name | MISS SONIA YVETTE BERRY
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Credential | FNP-C, APRN
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Telephone | 713-585-6017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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