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General NPI Number Information
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NPI Number | 1649567090
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Entity Type | Organization
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Legal Business Name | ALL BETTER PEDIATRIC GROUP, INC
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 07/06/2011
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Provider Practice Location Address
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Address Line | 5300 W HILLSBORO BLVD SUITE 110
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4395
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Country | US
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Telephone | 954-794-1360
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Fax | 954-794-1367
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Provider Business Mailing Address
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Address Line | 5300 W HILLSBORO BLVD SUITE 110
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City | COCONUT CREEK
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State | FL
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Zip | 33073
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Country | US
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Telephone | 954-794-1360
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Fax | 954-794-1367
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Authorized Official
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Title or Position | OWNER
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Name | DR. RENATO AGUSTO BERGER
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Credential | MD
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Telephone | 954-794-1360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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