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General NPI Number Information
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NPI Number | 1376911545
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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 | 09/04/2015
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Last Update Date | 06/20/2017
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Provider Practice Location Address
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Address Line | 4280 MAIN ST STE 200
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City | FRISCO
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State | TX
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Zip | 75033-3080
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Country | US
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Telephone | 972-464-2510
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Fax | 214-705-1379
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Provider Business Mailing Address
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Address Line | 4280 MAIN ST STE 200
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City | FRISCO
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State | TX
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Zip | 75033-3080
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Country | US
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Telephone | 972-464-2510
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Fax | 214-705-1379
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. RACHAEL TEER
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Credential | NRCMA
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L3756
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License Number State | TX
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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