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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Robert Eric Berg | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Robert | [sources] | |||
| Last name | Berg | [sources] | |||
| Middle name | Eric | [sources] | |||
| NPI | 1083712558 | [sources] | |||
| Registration number | C51102 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 3357 SW Villa Pl., Palm City, FL, 34990-8120 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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