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General NPI Number Information
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NPI Number | 1467886754
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Entity Type | Individual
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Provider Name | MONICA BERKEMEIER DELMEDICO PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 1939 W STATE ST
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City | ALLIANCE
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State | OH
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Zip | 44601-3522
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Country | US
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Telephone | 330-238-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 CORPORATE EXCHANGE DR STE 102
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City | COLUMBUS
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State | OH
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Zip | 43231-7651
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Country | US
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Telephone | 614-505-7633
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601007317
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License Number State | MI
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