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General NPI Number Information
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NPI Number | 1366946477
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Entity Type | Organization
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Legal Business Name | BERG & MINIGUTTI, PLLC
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 8000 ELDORADO PKWY STE A
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City | MCKINNEY
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State | TX
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Zip | 75070-4136
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Country | US
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Telephone | 972-591-5844
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 ELDORADO PKWY STE A
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City | MCKINNEY
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State | TX
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Zip | 75070-4136
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Country | US
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Telephone | 972-591-5844
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Fax |
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Authorized Official
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Title or Position | DOO
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Name | RACHAEL TEER
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Credential |
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Telephone | 972-464-2510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N0643
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License Number State | TX
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