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General NPI Number Information
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NPI Number | 1407780737
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Entity Type | Individual
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Provider Name | RACHEL BERGMAN MA LPC-IT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 409 E 4TH ST
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City | MERRILL
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State | WI
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Zip | 54452-2059
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Country | US
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Telephone | 715-575-1565
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Fax | 888-778-6750
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Provider Business Mailing Address
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Address Line | 409 E 4TH ST
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City | MERRILL
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State | WI
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Zip | 54452-2059
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Country | US
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Telephone | 715-575-1565
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Fax | 888-778-6750
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9035-226
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License Number State | WI
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