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General NPI Number Information
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NPI Number | 1306127691
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Entity Type | Organization
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Legal Business Name | GEORGE D. BERKI D.C., INC.
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 36490 DETROIT RD
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City | AVON
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State | OH
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Zip | 44011-1590
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Country | US
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Telephone | 440-934-2333
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Fax | 440-934-2344
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Provider Business Mailing Address
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Address Line | 36490 DETROIT RD
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City | AVON
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State | OH
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Zip | 44011-1590
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Country | US
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Telephone | 440-934-2333
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Fax | 440-934-2344
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE DAVID BERKI II
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Credential | DC
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Telephone | 440-934-2333
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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 | 2086
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License Number State | OH
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