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General NPI Number Information
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NPI Number | 1083023154
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Entity Type | Individual
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Provider Name | JOSEPH BERKOVIC
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Gender | Male
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 978 ROUTE 45 STE 108
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City | POMONA
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State | NY
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Zip | 10970-3512
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Country | US
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Telephone | 845-356-1534
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Fax | 845-579-7209
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Provider Business Mailing Address
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Address Line | 978 ROUTE 45 STE 108
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City | POMONA
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State | NY
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Zip | 10970-3512
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Country | US
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Telephone | 845-356-1534
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Fax | 845-579-7209
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | P93183
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License Number State | NY
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