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CHARLES ALLEN BERK — OIG Excluded Provider (IRVINE, CA, 1128b4)

CHARLES ALLEN BERK — OIG Excluded Provider (IRVINE, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CHARLES ALLEN BERK; Type: Individual; Provider category: PODIATRY PRACTICE.

NameCHARLES ALLEN BERK
TypeIndividual
Provider categoryPODIATRY PRACTICE
SpecialtyPODIATRY
CityIRVINE
StateCA
ZIP92714
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date1998-12-20
SourceHHS-OIG LEIE

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