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General NPI Number Information
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NPI Number | 1578644308
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Entity Type | Organization
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Legal Business Name | GERALD J BERGMAN DPM PC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 WANTAGH AVE SUITE 202
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City | WANTAGH
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State | NY
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Zip | 11793-2210
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Country | US
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Telephone | 516-781-1943
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Fax | 516-781-1943
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Provider Business Mailing Address
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Address Line | 1400 WANTAGH AVE SUITE 202
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City | WANTAGH
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State | NY
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Zip | 11793-2210
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Country | US
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Telephone | 516-781-1943
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Fax | 516-781-1943
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. GERLAD J BERGMAN
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Credential | DPM
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Telephone | 516-781-1943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N0018861
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License Number State | NY
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