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General NPI Number Information
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NPI Number | 1841167632
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Entity Type | Organization
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Legal Business Name | JOSEPH AND BERSON LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 632 FRONT STREET
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City | GEORGETOWN
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State | SC
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Zip | 29440
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Country | US
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Telephone | 843-546-5994
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Fax | 843-546-4084
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Provider Business Mailing Address
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Address Line | 632 FRONT STREET
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City | GEORGETOWN
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State | SC
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Zip | 29440
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Country | US
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Telephone | 843-546-5994
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Fax | 843-546-4084
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Authorized Official
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Title or Position | DENTIST/OWNER/PARTNER
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Name | DR. LUKE BERSON
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Credential | DMD
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Telephone | 843-546-5994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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