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General NPI Number Information
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NPI Number | 1447758750
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Entity Type | Organization
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Legal Business Name | BERGER AUDIOLOGY
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2930 MILLER DR
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City | PLYMOUTH
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State | IN
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Zip | 46563-8083
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Country | US
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Telephone | 574-935-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 2930 MILLER DR
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City | PLYMOUTH
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State | IN
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Zip | 46563-8083
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Country | US
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Telephone | 574-935-4327
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. REBECCA BERGER
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Credential | AU.D.
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Telephone | 574-935-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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