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General NPI Number Information
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NPI Number | 1184117897
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Entity Type | Individual
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Provider Name | JOSEPH SAMUEL BERMAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 1211 WILMINGTON AVE
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City | NEW CASTLE
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State | PA
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Zip | 16105-2516
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Country | US
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Telephone | 310-903-6201
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Fax |
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Provider Business Mailing Address
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Address Line | 3611 PENN AVE APT 2
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City | PITTSBURGH
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State | PA
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Zip | 15201-1334
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Country | US
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Telephone | 310-903-6201
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301115361
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License Number State | MI
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