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General NPI Number Information
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NPI Number | 1417950973
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Entity Type | Individual
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Provider Name | ARNOLD SHERMAN BERESH DPM
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 2202 EXECUTIVE DR STE A
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City | HAMPTON
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State | VA
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Zip | 23666-6604
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Country | US
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Telephone | 757-827-7111
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Fax | 757-827-7164
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Provider Business Mailing Address
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Address Line | 417 CHADWICK PL STE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3169
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Country | US
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Telephone | 757-503-0479
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Fax | 757-223-7653
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103000640
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License Number State | VA
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