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General NPI Number Information
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NPI Number | 1649357682
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Entity Type | Organization
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Legal Business Name | DAVID B BERGMAN MD
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 3750 CONVOY ST 318
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City | SAN DIEGO
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State | CA
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Zip | 92111-3738
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Country | US
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Telephone | 858-292-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 7373 UNIVERSITY AVE 213
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City | LA MESA
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State | CA
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Zip | 91941-6000
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Country | US
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Telephone | 858-292-2929
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID B BERGMAN
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Credential | MD
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Telephone | 858-292-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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