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General NPI Number Information
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NPI Number | 1548396989
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Entity Type | Organization
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Legal Business Name | ALAN JOSEPH BERLIN, M.D.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 214 MITYLENE PARK DR
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City | MONTGOMERY
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State | AL
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Zip | 36117-3548
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Country | US
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Telephone | 334-244-7874
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Fax | 334-274-0174
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Provider Business Mailing Address
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Address Line | 214 MITYLENE PARK DR
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City | MONTGOMERY
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State | AL
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Zip | 36117-3548
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Country | US
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Telephone | 334-244-7874
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Fax | 334-274-0174
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN JOSEPH BERLIN
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Credential | MD
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Telephone | 334-244-7874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 10816
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License Number State | AL
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