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General NPI Number Information
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NPI Number | 1457415614
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Entity Type | Individual
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Provider Name | REBECCA L BERGER AUD
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 09/29/2016
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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 | 574-935-4327
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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 | 574-935-4327
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State | IN
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