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General NPI Number Information
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NPI Number | 1306889795
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Entity Type | Individual
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Provider Name | RALPH H. BERMAN M D
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 412 CEDAR ST SUITE A
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4369
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Country | US
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Telephone | 831-234-6591
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Fax | 831-454-3525
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Provider Business Mailing Address
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Address Line | 2687 CHRISTINE OAKS
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City | SANTA CRUZ
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State | CA
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Zip | 95062-4300
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Country | US
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Telephone | 831-234-6591
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Fax | 831-464-3525
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A22430
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A22430
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License Number State | CA
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