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General NPI Number Information
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NPI Number | 1558555789
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Entity Type | Organization
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Legal Business Name | BERMAN ORTHOPEDICS INSTITUTE
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 221 N BROAD ST 1ST FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1502
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Country | US
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Telephone | 215-564-2114
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Fax |
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Provider Business Mailing Address
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Address Line | 221 N BROAD ST 1ST FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1502
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Country | US
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Telephone | 215-564-2114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARNOLD T. BERMAN
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Credential | M.D.
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Telephone | 215-850-1090
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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 | MD008696E
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License Number State | PA
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