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General NPI Number Information
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NPI Number | 1437649803
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Entity Type | Organization
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Legal Business Name | BERGER PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 05/11/2018
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Provider Practice Location Address
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Address Line | 307 ROUPE RD
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City | EIGHTY FOUR
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State | PA
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Zip | 15330-2483
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Country | US
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Telephone | 412-467-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 307 ROUPE RD
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City | EIGHTY FOUR
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State | PA
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Zip | 15330-2483
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA BERGER
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Credential | CRNP
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Telephone | 412-467-6410
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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 | AP10121
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License Number State | AZ
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