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General NPI Number Information
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NPI Number | 1174497812
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Entity Type | Individual
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Provider Name | KALIA MARIE BERGMANN DC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 9302 N MERIDIAN ST STE 299
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1842
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Country | US
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Telephone | 317-848-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 DECO DR APT 6106
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-4014
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08003541A
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License Number State | IN
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