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General NPI Number Information
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NPI Number | 1881779916
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Entity Type | Organization
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Legal Business Name | WALTER E BERMAN MD & CHARLES M MONELL MD INC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 9001 WILSHIRE BLVD #100
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1838
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Country | US
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Telephone | 310-278-3223
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Fax | 310-278-2553
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Provider Business Mailing Address
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Address Line | 9001 WILSHIRE BLVD #100
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City | BH
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State | CA
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Zip | 90211-1838
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Country | US
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Telephone | 310-278-3223
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Fax | 310-278-2553
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Authorized Official
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Title or Position | MD
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Name | DR. ANDREW GLEN BERMAN
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Credential | MD
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Telephone | 310-278-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State | CA
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