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General NPI Number Information
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NPI Number | 1154536191
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Entity Type | Individual
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Provider Name | MEHMET CAGLAR BERK M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2007
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 6485 SW BORLAND RD SUITE G
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City | PORTLAND
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State | OR
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Zip | 97062
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Country | US
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Telephone | 503-482-5671
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Fax | 503-482-5764
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Provider Business Mailing Address
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Address Line | 6485 SW BORLAND RD SUITE G
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City | PORTLAND
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State | OR
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Zip | 97062
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Country | US
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Telephone | 503-482-5671
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Fax | 503-482-5764
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD157718
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MD157718
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License Number State | OR
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