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General NPI Number Information
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NPI Number | 1740254291
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Entity Type | Individual
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Provider Name | JENNIFER MICHELE BERLIN D.P.M
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 17 WHITE HORSE PIKE SUITE 10A
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1299
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Country | US
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Telephone | 856-546-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 1 JEFFERSON CT
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-5108
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Country | US
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Telephone | 267-229-4366
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00284300
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License Number State | NJ
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