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General NPI Number Information
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NPI Number | 1063654671
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Entity Type | Organization
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Legal Business Name | BHRT INC.
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 03/27/2009
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Provider Practice Location Address
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Address Line | 3300 PGA BLVD SUITE 300
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2821
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Country | US
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Telephone | 888-804-1632
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Fax | 888-804-1636
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Provider Business Mailing Address
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Address Line | 3300 PGA BLVD SUITE 300
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2821
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Country | US
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Telephone | 888-804-1632
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Fax | 888-804-1636
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MIKHAIL BERMAN
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Credential | M.D.
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Telephone | 888-804-1632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME45620
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License Number State | FL
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