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General NPI Number Information
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NPI Number | 1083429351
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Entity Type | Individual
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Provider Name | BERINA AVDIC PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1301
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Country | US
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Telephone | 607-547-4762
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Fax | 607-547-4719
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Provider Business Mailing Address
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Address Line | 1302 KATHLEEN ST
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City | UTICA
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State | NY
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Zip | 13501-2622
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Country | US
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Telephone | 315-351-9107
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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