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General NPI Number Information
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NPI Number | 1366821936
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Entity Type | Individual
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Provider Name | ELIZABETH ALLISON BERK PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 7625 W HUTCHINSON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15218
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Country | US
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Telephone | 201-892-4433
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Fax | 504-544-0187
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Provider Business Mailing Address
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Address Line | 2318 PITTOCK ST
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City | PITTSBURGH
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State | PA
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Zip | 15217-2312
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Country | US
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Telephone | 201-892-4433
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Fax | 504-544-0187
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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 | 1481
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License Number State | LA
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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 | 021172
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS020010
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License Number State | PA
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