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General NPI Number Information
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NPI Number | 1407830789
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Entity Type | Organization
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Legal Business Name | BERMAN FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 869 JOHN MARSHALL HWY STE B
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City | FRONT ROYAL
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State | VA
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Zip | 22630-4578
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Country | US
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Telephone | 540-636-8770
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Fax | 540-636-8771
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Provider Business Mailing Address
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Address Line | 869 JOHN MARSHALL HWY STE B
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City | FRONT ROYAL
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State | VA
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Zip | 22630-4578
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Country | US
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Telephone | 540-636-8770
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Fax | 540-636-8771
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT J BERMAN
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Credential |
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Telephone | 540-636-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104001286
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License Number State | VA
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