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General NPI Number Information
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NPI Number | 1336320027
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Entity Type | Organization
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Legal Business Name | ALAN N BERMAN
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 534 ROUTE 6
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City | MAHOPAC
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State | NY
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Zip | 10541-4746
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Country | US
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Telephone | 845-628-4420
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Fax | 845-628-4496
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Provider Business Mailing Address
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Address Line | PO BOX 886
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City | MAHOPAC
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State | NY
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Zip | 10541-0886
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Country | US
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Telephone | 845-628-4420
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Fax | 845-628-4496
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Authorized Official
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Title or Position | DPM
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Name | DR. ALAN N BERMAN
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Credential | DPM
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Telephone | 845-628-4420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36991
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License Number State | NY
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