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General NPI Number Information
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NPI Number | 1255700365
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Entity Type | Organization
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Legal Business Name | BERGMAN VETERINARY HOSPITAL
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 906 E STATE ST
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City | CASSOPOLIS
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State | MI
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Zip | 49031-9339
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Country | US
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Telephone | 269-445-8418
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Fax |
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Provider Business Mailing Address
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Address Line | 906 E STATE ST
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City | CASSOPOLIS
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State | MI
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Zip | 49031-9339
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VETERINARIAN
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Name | DR. KATHLEEN MURPHY
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Credential | DVM
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Telephone | 269-208-4746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 6901008529
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License Number State | MI
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