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General NPI Number Information
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NPI Number | 1093766503
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Entity Type | Organization
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Legal Business Name | BERI EYE CARE ASSOCIATES PC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 5050 NE HOYT #217
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City | PORTLAND
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State | OR
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Zip | 97213
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Country | US
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Telephone | 503-232-6104
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Fax | 503-235-3753
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Provider Business Mailing Address
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Address Line | 5050 NE HOYT #217
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City | PORTLAND
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State | OR
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Zip | 97213
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Country | US
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Telephone | 503-232-6104
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Fax | 503-235-3753
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MRS. MEENA BERI
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Credential | MD
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Telephone | 503-232-6104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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