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General NPI Number Information
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NPI Number | 1831488931
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Entity Type | Organization
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Legal Business Name | LARRY A. BERLIN, DC
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 1997 ANNAPOLIS EXCHANGE PKWY SUITE 300
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3271
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Country | US
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Telephone | 410-881-3033
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1479
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City | SEVERNA PARK
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State | MD
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Zip | 21146-8479
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Country | US
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Telephone | 410-881-3033
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LARRY A BERLIN
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Credential | DC
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Telephone | 410-881-3033
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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 | S03597
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License Number State | MD
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