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General NPI Number Information
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NPI Number | 1053931600
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Entity Type | Individual
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Provider Name | JOSHUA BERGER
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Gender | Male
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 833 PA-130
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City | TRAFFORD
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State | PA
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Zip | 15085
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Country | US
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Telephone | 412-856-7332
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 E NORTH AVE
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City | MILWAUKEE
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State | WI
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Zip | 53212-3515
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS023207
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License Number State | PA
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