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General NPI Number Information
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NPI Number | 1184717605
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Entity Type | Organization
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Legal Business Name | RICHARD A. BERG, PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5010 RANDALL PARKWAY
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City | WILMINGTON
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State | NC
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Zip | 28403
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Country | US
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Telephone | 910-791-5719
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Fax | 910-799-8180
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Provider Business Mailing Address
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Address Line | 5010 RANDALL PARKWAY
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City | WILMINGTON
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State | NC
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Zip | 28403
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Country | US
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Telephone | 910-791-5719
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Fax | 910-799-8180
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST/PSYCHOLOGIST
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Name | DR. RICHARD A. BERG
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Credential | PH.D.
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Telephone | 910-791-5719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 1976
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1976
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License Number State | NC
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