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Individual
PATRICIA BERRY
Active
Individual
PATRICIA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
387305ZG8J
MEDICARE ID
TX
Enumeration date
12/23/2014
Last updated
09/27/2024
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