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General NPI Number Information
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NPI Number | 1669977914
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Entity Type | Individual
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Provider Name | JULIA MARIE BERRY MS CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 10B MADISON AVENUE EXT
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City | ALBANY
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State | NY
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Zip | 12203-7314
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Country | US
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Telephone | 518-867-3061
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CORTLAND DR
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City | ALBANY
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State | NY
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Zip | 12211-1319
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Country | US
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Telephone | 518-339-0228
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 027529
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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