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General NPI Number Information
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NPI Number | 1720354392
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Entity Type | Organization
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Legal Business Name | TED BERGER DC PA
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 7574 PEMBROKE RD
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City | MIRAMAR
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State | FL
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Zip | 33023-2563
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Country | US
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Telephone | 954-927-7246
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Fax | 954-961-7562
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Provider Business Mailing Address
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Address Line | 7574 PEMBROKE RD
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City | MIRAMAR
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State | FL
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Zip | 33023-2563
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Country | US
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Telephone | 954-927-7246
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Fax | 954-961-7562
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Authorized Official
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Title or Position | CHIROPRACTER
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Name | DR. TED A BERGER
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Credential | D.C.,P.A.
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Telephone | 954-927-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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