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NPI Code Detail

MEDICARE: ROBIN BERRY

MEDICARE: ROBIN BERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1174132229
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN BERRY
Provider Business Mailing Address
First Line : 2672 ROBERT FULTON HWY
Second Line :
City : PEACH BOTTOM
State : PA
Zip : 17563-9749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12 MAPLE HILL AVE
Second Line :
City : PETERSBURG
State : WV
Zip : 26847-1547
Country : US
Telephone Number : 410-322-8133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2020
Last Update Date : 07/24/2020

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Directions to “ ROBIN BERRY ” Practice Location

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