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General NPI Number Information
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NPI Number | 1457149577
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Entity Type | Individual
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Provider Name | MOSHE MENACHEM BERGER DDS
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Gender | Male
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 3401 ENTERPRISE PKWY STE 115
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City | BEACHWOOD
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State | OH
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Zip | 44122-7340
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Country | US
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Telephone | 216-480-6978
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 DENNISTON ST
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City | PITTSBURGH
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State | PA
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Zip | 15217-1457
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Country | US
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Telephone | 305-793-8810
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 30.027882
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License Number State | OH
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