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General NPI Number Information
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NPI Number | 1851502991
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Entity Type | Individual
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Provider Name | NADJA BERMAN P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6400 S LEWIS AVE STE 1500
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City | TULSA
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State | OK
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Zip | 74136-1088
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Country | US
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Telephone | 800-728-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 8238 E 33RD ST
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City | TULSA
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State | OK
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Zip | 74145-1406
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Country | US
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Telephone | 512-619-0929
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3970
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License Number State | OK
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