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General NPI Number Information
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NPI Number | 1790844900
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Entity Type | Organization
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Legal Business Name | DR JAY B BERKOWITZ DC PC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 4867 BAXTER RD SUITE 107
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4469
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Country | US
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Telephone | 757-497-1555
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Fax | 757-497-2715
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Provider Business Mailing Address
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Address Line | 4867 BAXTER RD SUITE 107
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4469
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Country | US
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Telephone | 757-497-1555
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Fax | 757-497-2715
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAY B BERKOWITZ
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Credential | D.C.
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Telephone | 757-497-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0104000609
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License Number State | VA
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