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General NPI Number Information
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NPI Number | 1063479798
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Entity Type | Individual
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Provider Name | SHAWN ANTHONY BERKOWITZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 5414 BEAUMONT CENTER BLVD
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City | TAMPA
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State | FL
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Zip | 33634-5266
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Country | US
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Telephone | 813-889-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 CAPITAL DR
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5013
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Country | US
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Telephone | 941-552-7686
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Fax | 941-806-4121
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 257826
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License Number State | MA
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