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General NPI Number Information
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NPI Number | 1881761245
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Entity Type | Individual
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Provider Name | PETER B BERKEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 315 SE 14TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1929
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Country | US
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Telephone | 954-701-6920
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Fax | 855-643-6201
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Provider Business Mailing Address
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Address Line | PO BOX 100 DEPT#394
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 941-300-4440
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Fax | 941-404-1760
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME132416
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License Number State | FL
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