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General NPI Number Information
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NPI Number | 1578557989
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Entity Type | Organization
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Legal Business Name | WILLIAM S. BERMAN, M.D., P.A.
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10301 HAGEN RANCH RD SUITE 3
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3724
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Country | US
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Telephone | 561-364-1079
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Fax | 561-752-3461
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Provider Business Mailing Address
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Address Line | 10301 HAGEN RANCH RD SUITE 3
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3724
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Country | US
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Telephone | 561-364-1079
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Fax | 561-752-3461
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM S BERMAN
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Credential | MD
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Telephone | 561-364-1079
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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 | ME44401
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License Number State | FL
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