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General NPI Number Information
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NPI Number | 1487704193
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Entity Type | Individual
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Provider Name | MS. MARION LEVY BERGMAN
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 89 MARSHALL AVE
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City | HAMILTON
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State | NJ
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Zip | 08610
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Country | US
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Telephone | 610-212-1814
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Fax | 609-587-8116
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Provider Business Mailing Address
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Address Line | PO BOX 8152
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City | TRENTON
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State | NJ
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Zip | 08650-0152
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Country | US
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Telephone | 610-212-1814
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW010091L
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License Number State | PA
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