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General NPI Number Information
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NPI Number | 1144209693
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Entity Type | Individual
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Provider Name | CAROL BERKOWITZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 21840 NORMANDIE AVE STE. 1100
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City | TORRANCE
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State | CA
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Zip | 90502-2047
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Country | US
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Telephone | 310-222-5133
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Fax | 310-781-9352
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Provider Business Mailing Address
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Address Line | 21840 NORMANDIE AVE STE. 1100
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City | TORRANCE
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State | CA
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Zip | 90502-2047
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Country | US
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Telephone | 310-222-5133
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Fax | 310-781-9352
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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 | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | G26068
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License Number State | CA
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