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NPI Code Detail

MEDICARE: DAWN M BERGER NP

MEDICARE: DAWN M BERGER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP121762TX

General Provider Information

NPI Number : 1194720557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN M BERGER NP
Provider Business Mailing Address
First Line : 5401 HIGH POINTE DR
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2691
Country : US
Telephone Number : 682-459-4604
Fax Number :
Provider Business Practice Location Address
First Line : 9900 BREN RD E
Second Line : MAIL ROUTE MN 008-B213
City : MINNETONKA
State : MN
Zip : 55343-9664
Country : US
Telephone Number : 682-459-4604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 09/16/2020

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