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General NPI Number Information
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NPI Number | 1104790104
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Entity Type | Individual
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Provider Name | REBECCAH ELAINE BERKE AUD, CCC-A
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 234 CROOKED CREEK PKWY STE 500
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City | DURHAM
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State | NC
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Zip | 27713-8507
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Country | US
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Telephone | 919-684-3834
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 WAKE TOWNE DR APT 118
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City | RALEIGH
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State | NC
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Zip | 27609-7465
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 30004565
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License Number State | NC
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