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General NPI Number Information
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NPI Number | 1194964205
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Entity Type | Individual
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Provider Name | DANIEL RON BERGER D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 4486 N UNIVERSITY DR
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City | LAUDERHILL
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State | FL
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Zip | 33351-4513
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Country | US
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Telephone | 954-578-4000
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Fax | 954-578-4948
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Provider Business Mailing Address
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Address Line | 2706 N GREENWAY DR
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City | CORAL GABLES
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State | FL
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Zip | 33134-5546
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Country | US
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Telephone | 305-733-4409
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Fax | 305-445-2612
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS0006679
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License Number State | FL
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