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General NPI Number Information
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NPI Number | 1902826829
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Entity Type | Organization
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Legal Business Name | BERKS FOOT AND ANKLE SURGICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 260 STATE ST STE 2
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City | HAMBURG
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State | PA
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Zip | 19526-1823
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Country | US
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Telephone | 610-562-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 260 STATE ST SUITE 2
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City | HAMBURG
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State | PA
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Zip | 19526-1823
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Country | US
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Telephone | 610-562-4999
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Fax | 610-562-0221
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SUZIE K SATTIZAHN
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Credential |
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Telephone | 610-796-9522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC002677-L
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License Number State | PA
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