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General NPI Number Information
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NPI Number | 1124015425
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Entity Type | Individual
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Provider Name | LINDA SHERRY BERMAN PHD.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2005
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 21245 26TH AVE SUITE 8A
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City | BAYSIDE
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State | NY
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Zip | 11360-1901
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Country | US
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Telephone | 718-229-7845
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Fax | 718-229-6663
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Provider Business Mailing Address
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Address Line | 21245 26TH AVE SUITE 8A
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City | BAYSIDE
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State | NY
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Zip | 11360-1901
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Country | US
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Telephone | 718-229-7845
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Fax | 718-229-6663
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 008874-1
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License Number State | NY
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