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General NPI Number Information
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NPI Number | 1841292653
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Entity Type | Individual
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Provider Name | DAVID P. BERRY MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 1330 BOILING SPRINGS RD SUITE 2400
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City | SPARTANBURG
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State | SC
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Zip | 29303-4201
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Country | US
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Telephone | 864-583-5312
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Fax | 864-582-1935
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Provider Business Mailing Address
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Address Line | 1330 BOILING SPRINGS RD SUITE 2400
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City | SPARTANBURG
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State | SC
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Zip | 29303-4201
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Country | US
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Telephone | 864-583-5312
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Fax | 864-582-1935
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 7904
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License Number State | SC
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