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General NPI Number Information
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NPI Number | 1932169307
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Entity Type | Individual
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Provider Name | IRINA BERLIN MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 40 W BRIGHTON AVE SUITE # 104
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City | BROOKLYN
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State | NY
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Zip | 11224-4902
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Country | US
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Telephone | 718-627-8300
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Fax | 718-627-8302
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Provider Business Mailing Address
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Address Line | 2785 W 5TH ST #23E
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City | BROOKLYN
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State | NY
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Zip | 11224-4629
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Country | US
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Telephone | 718-627-8300
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Fax | 718-627-8302
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 211765
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License Number State | NY
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