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General NPI Number Information
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NPI Number | 1942495239
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Entity Type | Organization
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Legal Business Name | MARK P BERLAND, DO, PC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 1550 S POTOMAC ST SUITE 135
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City | AURORA
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State | CO
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Zip | 80012-5455
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Country | US
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Telephone | 303-360-1019
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Fax | 303-369-1062
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Provider Business Mailing Address
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Address Line | 1550 S POTOMAC ST SUITE 135
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City | AURORA
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State | CO
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Zip | 80012-5455
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Country | US
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Telephone | 303-360-1019
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Fax | 303-369-1062
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK P BERLAND
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Credential | D.O.
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Telephone | 303-369-1019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20912
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License Number State | CO
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