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General NPI Number Information
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NPI Number | 1245232925
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Entity Type | Individual
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Provider Name | FRANK BERGMAN D.C., F.A.C.O.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 387 STONYBROOK DR
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City | LEVITTOWN
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State | PA
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Zip | 19055-2021
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Country | US
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Telephone | 215-547-0508
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Fax | 215-547-2430
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Provider Business Mailing Address
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Address Line | 112 CANTERBURY RD
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City | FAIRLESS HILLS
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State | PA
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Zip | 19030-2311
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Country | US
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Telephone | 215-945-5879
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | DC1612
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License Number State | PA
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