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General NPI Number Information
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NPI Number | 1386878247
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Entity Type | Individual
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Provider Name | AARON LEE BERKOWITZ M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVENUE BLDG. 1, ROOM 117
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 628-206-6182
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 743749
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City | LOS ANGELES
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State | CA
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Zip | 90074-3749
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Country | US
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Telephone |
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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 | 244648
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 254410
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | C166152
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License Number State | CA
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