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General NPI Number Information
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NPI Number | 1801533526
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Entity Type | Individual
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Provider Name | ANDREW BERHOLD DMD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2022
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 4732 S KIRKMAN RD
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City | ORLANDO
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State | FL
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Zip | 32811-3643
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Country | US
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Telephone | 407-292-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 926 GREAT POND DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-7244
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 38393
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 26797
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN26797
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License Number State | FL
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