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NPI 1477547883

NPI 1477547883 : WILLIAM S BERMAN MD : BOYNTON BEACH, FL

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General NPI Number Information
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    NPI Number           |    1477547883
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM S BERMAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2005
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    Last Update Date     |    01/28/2013
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Provider Practice Location Address
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    Address Line         |    10301 HAGEN RANCH RD SUITE 3
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33437-3724
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    Country              |    US
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    Telephone            |    561-364-1079
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    Fax                  |    561-752-3461
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Provider Business Mailing Address
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    Address Line         |    10301 HAGEN RANCH RD SUITE 3
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33437-3724
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    Country              |    US
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    Telephone            |    561-364-1079
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    Fax                  |    561-752-3461
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    ME44401
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    License Number State |    FL
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