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General NPI Number Information
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NPI Number | 1700056504
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Entity Type | Organization
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Legal Business Name | MARK D. BERMAN DDS, MD, PC
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 8200 E BELLEVIEW AVE SUITE 515E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111
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Country | US
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Telephone | 303-694-1700
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Fax | 303-772-6825
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Provider Business Mailing Address
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Address Line | 8200 E BELLEVIEW AVE SUITE 515E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111
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Country | US
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Telephone | 303-694-1700
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Fax | 303-772-6825
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Authorized Official
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Title or Position | ORAL SURGEON OWNER
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Name | DR. MARK D BERMAN
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Credential | DDS MD PC
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Telephone | 303-694-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2600
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 6987
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License Number State | CO
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