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General NPI Number Information
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NPI Number | 1194720557
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Entity Type | Individual
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Provider Name | DAWN M BERGER NP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 9900 BREN RD E MAIL ROUTE MN 008-B213
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 682-459-4604
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 HIGH POINTE DR
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City | HALTOM CITY
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State | TX
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Zip | 76137-2691
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Country | US
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Telephone | 682-459-4604
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP121762
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License Number State | TX
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