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General NPI Number Information
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NPI Number | 1508466897
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Entity Type | Individual
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Provider Name | THEODORE EDWARD BERLINGERI D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 801 TYRONE BLVD N FL 33701
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City | ST PETERSBURG
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State | FL
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Zip | 33710-7128
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Country | US
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Telephone | 727-490-8068
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Fax | 727-677-9602
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Provider Business Mailing Address
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Address Line | 126 9TH AVE NE APT 1
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City | ST PETERSBURG
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State | FL
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Zip | 33701-1860
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Country | US
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Telephone | 727-490-8068
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Fax | 727-677-9602
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH13269
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License Number State | FL
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