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General NPI Number Information
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NPI Number | 1003608142
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Entity Type | Individual
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Provider Name | ANGELIKA MARION BERGER
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Gender | Female
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2550 TREASURE DR
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4148
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Country | US
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Telephone | 805-569-7988
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Fax |
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Provider Business Mailing Address
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Address Line | 865 LA MILPITA RD
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City | SANTA BARBARA
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State | CA
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Zip | 93105-2531
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Country | US
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Telephone | 805-636-9140
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | AT4423
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License Number State | CA
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