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General NPI Number Information
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NPI Number | 1255511820
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Entity Type | Organization
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Legal Business Name | ALAN R. BERLIN, D.O.P.C.
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 11/12/2007
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Provider Practice Location Address
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Address Line | 1079 PROFESSIONAL DR
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City | FLINT
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State | MI
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Zip | 48532-3636
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Country | US
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Telephone | 810-732-3330
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Fax | 810-732-2590
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Provider Business Mailing Address
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Address Line | 1079 PROFESSIONAL DR
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City | FLINT
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State | MI
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Zip | 48532-3636
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Country | US
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Telephone | 810-732-3330
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Fax | 810-732-2590
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN ROBBIN BERLIN
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Credential | D.O.
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Telephone | 810-732-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 5101006346
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License Number State | MI
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