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General NPI Number Information
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NPI Number | 1003120502
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Entity Type | Individual
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Provider Name | ERIK BERGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 247 N FIREWEED ST STE A
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City | SOLDOTNA
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State | AK
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Zip | 99669-7593
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Country | US
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Telephone | 907-262-8597
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Fax |
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Provider Business Mailing Address
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Address Line | 250 HOSPITAL PL
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City | SOLDOTNA
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State | AK
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Zip | 99669-7559
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Country | US
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Telephone | 907-714-4038
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR0054273
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TL-3680
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | 0054273
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License Number State | CO
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