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NPI 1700526753

NPI 1700526753 : BRITTANY BERRY MSN : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1700526753
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    Entity Type          |    Individual 
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    Provider Name        |    BRITTANY BERRY MSN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/29/2022
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    Last Update Date     |    07/19/2022
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Provider Practice Location Address
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    Address Line         |    5323 HARRY HINES BLVD 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75390-7245
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    Country              |    US
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    Telephone            |    214-648-3111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7922 N GLEN DR APT 1043 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75063-7245
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    Country              |    US
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    Telephone            |    214-604-5789
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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        |    163WC0200X
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    Taxonomy Name        |    Critical Care Medicine Registered Nurse
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    License Number       |    894737
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    1073838
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    License Number State |    TX
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