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General NPI Number Information
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NPI Number | 1164619409
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Entity Type | Organization
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Legal Business Name | KATHERINE J. BERGER, D.P.M.
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 747 N BURLINGTON AVE STE 308
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City | HASTINGS
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State | NE
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Zip | 68901-4478
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Country | US
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Telephone | 402-462-2331
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Fax | 402-461-4054
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Provider Business Mailing Address
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Address Line | 3401 O ST
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City | LINCOLN
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State | NE
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Zip | 68510-1541
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Country | US
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Telephone | 402-474-4766
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Fax | 402-474-5957
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. KATHERINE JOAN BERGER
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Credential | D.P.M.
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Telephone | 402-474-4766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 219
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License Number State | NE
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