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Individual
DR. DONALD BLAKE BERRY
Active
Individual
DR. DONALD BLAKE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01420
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223239
MAMSI
—
01
—
3831919
CIGNA
—
01
—
KP25BE
CAREFIRST BCBS MARYLAND
MD
01
—
W375-0001
CAREFIRST BCBS FEP
—
Enumeration date
11/07/2005
Last updated
03/27/2017
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