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General NPI Number Information
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NPI Number | 1457778003
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Entity Type | Individual
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Provider Name | HOLLY ANN BERINGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 1815 W 13TH ST
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City | WILMINGTON
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State | DE
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Zip | 19806-4054
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Country | US
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Telephone | 302-652-4705
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Fax | 302-652-2917
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Provider Business Mailing Address
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Address Line | 161 WILMINGTON W CHESTER PIKE
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City | CHADDS FORD
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State | PA
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Zip | 19317-9041
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Country | US
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Telephone | 610-361-1060
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C5-0000963
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA056754
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License Number State | PA
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