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General NPI Number Information
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NPI Number | 1912324922
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Entity Type | Individual
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Provider Name | DOUGLAS ALLAN BERRY
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Gender | Male
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 1860 WHITE OAK DR
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City | DELAWARE
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State | OH
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Zip | 43015-9271
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Country | US
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Telephone | 740-938-4130
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Fax | 740-938-4131
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Provider Business Mailing Address
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Address Line | 1860 WHITE OAK DR
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City | DELAWARE
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State | OH
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Zip | 43015-9271
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Country | US
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Telephone | 740-938-4130
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Fax | 740-938-4131
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03216365
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19050
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 011684
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 042581
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1487740
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License Number State | WI
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