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General NPI Number Information
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NPI Number | 1851270433
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Entity Type | Organization
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Legal Business Name | TAYLOR BERRY DDS PLLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2027 196TH ST SW STE R1
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City | LYNNWOOD
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State | WA
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Zip | 98036-7073
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Country | US
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Telephone | 425-697-3907
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Fax |
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Provider Business Mailing Address
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Address Line | 2027 196TH ST SW STE R1
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City | LYNNWOOD
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State | WA
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Zip | 98036-7073
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Country | US
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Telephone | 425-697-3907
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Fax |
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Authorized Official
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Title or Position | DENTIST / OWNER
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Name | DR. TAYLOR ERNEST BERRY
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Credential | DDS
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Telephone | 425-697-3907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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