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Individual
DAWN PATRICIA BERRY
Active
Individual
DAWN PATRICIA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006277
NY
133VN1005X
Renal Nutrition Registered Dietitian
06277
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006377
NYS CERTIFICATION (CERTIFIED DIETITIAN/ NUTRITIONIST)
NY
01
—
896001
REGISTERED DIETITIAN REGISTRATION NUMBER
—
Enumeration date
11/05/2008
Last updated
05/13/2013
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