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General NPI Number Information
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NPI Number | 1568774719
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Entity Type | Individual
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Provider Name | JULIAN BERLIN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2010
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 3027 E COMMERCIAL BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-246-4777
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Fax | 954-246-4577
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Provider Business Mailing Address
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Address Line | 200 LESLIE DR APT 812
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-7317
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Country | US
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Telephone | 646-409-6540
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Fax |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0555961
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN22333
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License Number State | FL
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