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NPI 1902998727

NPI 1902998727 : DEAN ADAM BERMAN D.O. : DENVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1902998727
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    Entity Type          |    Individual 
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    Provider Name        |    DEAN ADAM BERMAN D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/29/2006
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    Last Update Date     |    12/16/2022
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Provider Practice Location Address
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    Address Line         |    25 POCONO RD 
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    City                 |    DENVILLE
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    State                |    NJ
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    Zip                  |    07834-2954
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    Country              |    US
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    Telephone            |    973-989-3396
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    Fax                  |    973-989-3092
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Provider Business Mailing Address
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    Address Line         |    6 HORNBEAM LN 
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    City                 |    KINNELON
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    State                |    NJ
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    Zip                  |    07405-2443
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    Country              |    US
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    Telephone            |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    25MB07187600
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    006367
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    License Number State |    AZ
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