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General NPI Number Information
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NPI Number | 1649397514
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Entity Type | Organization
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Legal Business Name | JOEL F BERMAN D.P.M.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 415 ALTURAS ST STE 5
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City | YUBA CITY
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State | CA
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Zip | 95991-4144
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Country | US
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Telephone | 530-742-0365
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Fax | 530-742-3338
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Provider Business Mailing Address
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Address Line | 812 4TH ST SUITE D
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City | MARYSVILLE
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State | CA
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Zip | 95901-5667
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Country | US
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Telephone | 530-742-0365
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Fax | 530-742-3338
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Authorized Official
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Title or Position | SUPPLIER
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Name | JOEL F BERMAN
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Credential | D.P.M.
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Telephone | 530-742-0365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | E3476
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License Number State | CA
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