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General NPI Number Information
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NPI Number | 1740074640
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Entity Type | Organization
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Legal Business Name | MARK BERKOWITZ MD PC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 44650 DELCO BLVD STE 100
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-1063
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Country | US
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Telephone | 586-254-7692
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Fax |
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Provider Business Mailing Address
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Address Line | 44650 DELCO BLVD STE 100
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-1063
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVE NEMER
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Credential |
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Telephone | 586-254-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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