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General NPI Number Information
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NPI Number | 1851324263
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Entity Type | Organization
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Legal Business Name | DR. ANDREW M. BERMAN, OPTOMETRIST P.A.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 446 S NEW ST NEW VISION CARE CENTER
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City | DOVER
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State | DE
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Zip | 19904-6725
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Country | US
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Telephone | 302-678-1000
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Fax | 302-678-2374
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Provider Business Mailing Address
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Address Line | PO BOX 537
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City | DOVER
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State | DE
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Zip | 19903-0537
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Country | US
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Telephone | 302-678-1000
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Fax | 302-678-2374
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. ANDREW M. BERMAN
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Credential | O.D.
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Telephone | 302-678-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | I3-0001136
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License Number State | DE
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