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General NPI Number Information
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NPI Number | 1053749812
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Entity Type | Individual
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Provider Name | ABLAN HOPE BERKO NP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2013
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 792 MAIN ST
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City | CLINTON
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State | MA
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Zip | 01510-1608
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 792 MAIN ST
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City | CLINTON
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State | MA
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Zip | 01510-1608
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Country | US
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Telephone | 866-389-2727
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 2025074054
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN260908
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License Number State | MA
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