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General NPI Number Information
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NPI Number | 1336172493
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Entity Type | Individual
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Provider Name | IRA BERMAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 8903 GLADES RD STE A14
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City | BOCA RATON
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State | FL
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Zip | 33434-4023
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Country | US
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Telephone | 561-477-3524
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Fax | 618-700-1235
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Provider Business Mailing Address
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Address Line | 22450 ARCADIA CT
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City | BOCA RATON
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State | FL
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Zip | 33433-5547
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Country | US
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Telephone | 561-212-1648
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Fax | 561-870-0123
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3870
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License Number State | FL
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