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General NPI Number Information
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NPI Number | 1093699308
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Entity Type | Individual
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Provider Name | SONYA THERESE BERLE DSW, LCSW, CADAC LV
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 8180 CLEARVISTA PKWY STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1661
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Country | US
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Telephone | 317-935-5807
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 E 86TH ST STE 36A
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1990
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Country | US
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Telephone | 401-481-1305
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34012132A
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License Number State | IN
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