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General NPI Number Information
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NPI Number | 1427260397
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Entity Type | Organization
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Legal Business Name | ERIC BERGER M.D.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 108 W MAPLE TREE DR
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City | WESTAMPTON
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State | NJ
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Zip | 08060-9600
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Country | US
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Telephone | 732-206-5191
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Fax |
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Provider Business Mailing Address
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Address Line | 108 W MAPLE TREE DR
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City | WESTAMPTON
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State | NJ
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Zip | 08060-9600
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Country | US
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Telephone | 732-206-5191
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | MR. ERIC M BERGER
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Credential | M.D.
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Telephone | 732-206-5191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA04941900
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License Number State | NJ
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