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General NPI Number Information
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NPI Number | 1881878098
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Entity Type | Organization
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Legal Business Name | DENNIS P. BERK, M.D., P.C.
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 131 OLD ROAD TO NINE ACRE CORNER JOHN CUMING BUILDNG SUITE 550
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City | CONCORD
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State | MA
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Zip | 01742
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Country | US
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Telephone | 978-369-1524
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Fax | 978-369-9390
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Provider Business Mailing Address
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Address Line | 131 OLD ROAD TO NINE ACRE CORNER JOHN CUMING BUILDNG SUITE 550
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City | CONCORD
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State | MA
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Zip | 01742
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Country | US
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Telephone | 978-369-1524
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Fax | 978-369-9390
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS P BERK
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Credential | M.D.
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Telephone | 978-369-1524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 29460
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License Number State | MA
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