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NPI 1235209685

NPI 1235209685 : TED A BERGER DC : MIRAMAR, FL

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General NPI Number Information
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    NPI Number           |    1235209685
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    Entity Type          |    Individual 
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    Provider Name        |    TED A BERGER DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/09/2006
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    Last Update Date     |    04/17/2025
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Provider Practice Location Address
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    Address Line         |    7574 PEMBROKE RD 
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    City                 |    MIRAMAR
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    State                |    FL
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    Zip                  |    33023-2563
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    Country              |    US
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    Telephone            |    954-927-7246
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    Fax                  |    954-961-7562
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Provider Business Mailing Address
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    Address Line         |    7574 PEMBROKE RD 
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    City                 |    MIRAMAR
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    State                |    FL
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    Zip                  |    33023-2563
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    Country              |    US
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    Telephone            |    954-243-7246
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    Fax                  |    954-961-7562
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CH8040
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    License Number State |    FL
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