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General NPI Number Information
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NPI Number | 1326401282
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Entity Type | Individual
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Provider Name | METIN BERA TALHA DEMIRCI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 30 CORBETT WAY
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City | EATONTOWN
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State | NJ
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Zip | 07724-2263
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Country | US
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Telephone | 732-418-8372
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Fax |
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Provider Business Mailing Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-5506
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA11803100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 25MA11803100
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License Number State | NJ
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