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General NPI Number Information
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NPI Number | 1093862872
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Entity Type | Organization
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Legal Business Name | SCOTT A BERGER MD PA
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 7815 NW BEACON SQUARE BLVD SUITE 101
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City | BOCA RATON
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State | FL
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Zip | 33487-1345
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Country | US
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Telephone | 561-962-9600
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Fax | 561-962-9601
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Provider Business Mailing Address
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Address Line | PO BOX 8199
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City | DELRAY BEACH
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State | FL
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Zip | 33482-8199
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Country | US
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Telephone | 561-962-9600
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Fax | 561-962-9601
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT ANDREW BERGER
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Credential | MD
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Telephone | 561-962-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME0058045
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License Number State | FL
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