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General NPI Number Information
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NPI Number | 1114149515
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Entity Type | Organization
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Legal Business Name | BARBARA BERGER, PHD, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE SUITE 909
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-346-7757
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Fax | 312-346-7760
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE SUITE 909
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-346-7757
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Fax | 312-346-7760
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARBARA G BERGER
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Credential | PHD
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Telephone | 312-346-7757
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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 | 149-000201
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License Number State | IL
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