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General NPI Number Information
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NPI Number | 1659358315
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Entity Type | Individual
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Provider Name | MR. PETER R BERRY
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Gender | Male
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 1017 EAST TRINITY MILLS RD. STE. 120
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City | CARROLLTON
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State | TX
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Zip | 75006-1458
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Country | US
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Telephone | 972-466-0528
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Fax | 972-466-2345
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Provider Business Mailing Address
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Address Line | 3600 FM 2181 #300
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City | HICKORY CREEK
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State | TX
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Zip | 75065-7636
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Country | US
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Telephone | 940-321-1311
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Fax | 940-497-1374
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 20246
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License Number State | TX
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