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General NPI Number Information
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NPI Number | 1558388405
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Entity Type | Organization
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Legal Business Name | LAWRENCE A BERGER MD PA
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 21097 NE 27TH CT #580
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City | AVENTURA
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State | FL
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Zip | 33180-1204
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Country | US
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Telephone | 305-932-5551
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Fax | 305-932-2397
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Provider Business Mailing Address
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Address Line | 21097 NE 27TH CT #580
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City | AVENTURA
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State | FL
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Zip | 33180-1204
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Country | US
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Telephone | 305-932-5551
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Fax | 305-932-2397
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Authorized Official
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Title or Position | OWNER
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Name | LAWRENCE A BERGER
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Credential | MD
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Telephone | 305-932-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0051685
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License Number State | FL
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