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General NPI Number Information
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NPI Number | 1427371764
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Entity Type | Individual
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Provider Name | KATHLEEN ANN BERGER MD
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Gender | Female
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY STE 1309
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City | HOUSTON
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State | TX
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Zip | 77002-8236
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Country | US
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Telephone | 832-366-1305
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Fax | 832-366-1287
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Provider Business Mailing Address
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Address Line | 11511 SHADOW CREEK PKWY HR/CREDENTIALING SERVICES
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City | PEARLAND
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State | TX
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Zip | 77584-7298
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Country | US
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Telephone | 713-442-0000
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | R9469
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 296224
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License Number State | NY
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