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General NPI Number Information
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NPI Number | 1285077834
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Entity Type | Organization
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Legal Business Name | BERKOWER PAIN & SPINE REHABILITATION, INC
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Dates
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Enumeration Date | 04/14/2013
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Last Update Date | 04/14/2013
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Provider Practice Location Address
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Address Line | 1 SW 129TH AVE SUITE 305
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1761
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Country | US
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Telephone | 954-430-9972
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Fax | 954-430-9902
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Provider Business Mailing Address
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Address Line | 1 SW 129TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1761
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Country | US
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Telephone | 954-430-9972
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Fax | 954-430-9902
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DAVID BERKOWER
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Credential | D.O.
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Telephone | 305-785-1288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OS8977
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License Number State | FL
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