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General NPI Number Information
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NPI Number | 1336251487
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Entity Type | Individual
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Provider Name | LARS BERK D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 17040 AYERS RD
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City | SPRING HILL
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State | FL
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Zip | 34604-6806
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Country | US
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Telephone | 352-593-0545
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Fax | 844-290-8521
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Provider Business Mailing Address
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Address Line | 17040 AYERS RD
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City | SPRING HILL
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State | FL
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Zip | 34604-6806
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Country | US
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Telephone | 352-593-0545
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Fax | 844-290-8521
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN14994
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License Number State | FL
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