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General NPI Number Information
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NPI Number | 1639965122
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Entity Type | Organization
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Legal Business Name | BERRY FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 1280 S KIHEI RD APT 121
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City | KIHEI
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State | HI
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Zip | 96753-5296
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Country | US
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Telephone | 808-727-2121
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Fax | 808-727-2211
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Provider Business Mailing Address
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Address Line | PO BOX 127
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City | KIHEI
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State | HI
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Zip | 96753-0127
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Country | US
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Telephone | 808-727-2121
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Fax | 808-727-2211
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS BERRY
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Credential | DC
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Telephone | 808-727-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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