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General NPI Number Information
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NPI Number | 1508048356
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Entity Type | Organization
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Legal Business Name | DR. ANDREW M. BERLINER
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 246 EAST MAIN STREET SUITE 2
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City | CLINTON
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State | CT
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Zip | 06413
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Country | US
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Telephone | 860-669-1320
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Fax | 860-669-5186
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Provider Business Mailing Address
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Address Line | 246 EAST MAIN STREET SUITE 2
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City | CLINTON
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State | CT
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Zip | 06413
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Country | US
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Telephone | 860-669-1320
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Fax | 860-669-5186
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. ANDREW MARK BERLINER
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Credential | DPM
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Telephone | 860-669-1320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | P00012CT
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License Number State | CT
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