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General NPI Number Information
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NPI Number | 1982854790
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Entity Type | Individual
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Provider Name | JOHN CHRISTOPHER BERRY MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 301 E. ANDREWS AVENUE
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City | FORT RUCKER
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State | AL
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Zip | 36362
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Country | US
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Telephone | 334-255-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 JONES BRIDGE RD
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City | BETHESDA
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State | MD
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Zip | 20814-4799
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Country | US
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Telephone | 202-460-1021
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25665
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License Number State | NE
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