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NPI 1215002514

NPI 1215002514 : DENISE M BERLIN DO : CENTERVILLE, PA

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General NPI Number Information
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    NPI Number           |    1215002514
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    Entity Type          |    Individual 
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    Provider Name        |    DENISE M BERLIN DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/21/2006
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    Last Update Date     |    03/05/2025
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Provider Practice Location Address
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    Address Line         |    32384 THREE BRIDGES RD 
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    City                 |    CENTERVILLE
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    State                |    PA
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    Zip                  |    16404-2402
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    Country              |    US
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    Telephone            |    814-493-6001
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    Fax                  |    814-675-0026
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Provider Business Mailing Address
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    Address Line         |    32384 THREE BRIDGES RD 
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    City                 |    CENTERVILLE
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    State                |    PA
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    Zip                  |    16404-2402
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    Country              |    US
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    Telephone            |    814-493-6001
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    Fax                  |    814-675-0026
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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       |    OS012215
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    05012215
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    License Number State |    PA
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