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General NPI Number Information
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NPI Number | 1154139046
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Entity Type | Individual
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Provider Name | MAYA KARIN BERKMAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1333 CAMINO DEL RIO S STE 103
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City | SAN DIEGO
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State | CA
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Zip | 92108-3520
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Country | US
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Telephone | 619-501-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 4486 38TH ST APT 7
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City | SAN DIEGO
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State | CA
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Zip | 92116-4664
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Country | US
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Telephone | 224-223-3615
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 307254
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License Number State | CA
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