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Contact Information

MIRANDA BERRY
1050 BEN RD APT 7
SAINT ALBANS, WV25177-3900
 Phone: 304-769-8077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1689247702
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/19/2021
Last updated 07/19/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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