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General NPI Number Information
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NPI Number | 1053377754
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Entity Type | Individual
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Provider Name | JOSE ALBERTO BERRIOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 800 TARPON WOODS BLVD SUITE D
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City | PALM HARBOR
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State | FL
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Zip | 34685-2011
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Country | US
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Telephone | 727-942-4005
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Fax | 727-934-1773
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Provider Business Mailing Address
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Address Line | 800 TARPON WOODS BLVD SUITE D
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City | PALM HARBOR
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State | FL
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Zip | 34685-2011
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Country | US
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Telephone | 727-942-4005
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Fax | 727-934-1773
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME0052177
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | ME0052177
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License Number State | FL
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