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General NPI Number Information
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NPI Number | 1508008806
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Entity Type | Individual
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Provider Name | ERIC BERKOWITZ
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Gender | Male
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 1200 N FEDERAL HWY STE 100
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City | BOCA RATON
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State | FL
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Zip | 33432-2844
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Country | US
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Telephone | 561-266-0190
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CHABLIS DR
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City | DIX HILLS
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State | NY
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Zip | 11746-5834
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Country | US
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Telephone | 631-487-7144
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | ME136045
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License Number State | FL
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