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General NPI Number Information
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NPI Number | 1083791685
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Entity Type | Organization
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Legal Business Name | BERLIANT ENTERPRISES, LLC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2541 METROCENTRE BLVD STE 4
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3154
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Country | US
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Telephone | 561-543-5146
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 BRANDYWINE RD APT 700J
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-2103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARTIN T BERLIANT
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Credential |
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Telephone | 561-543-5146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 684820
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License Number State | FL
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