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General NPI Number Information
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NPI Number | 1528076577
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Entity Type | Individual
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Provider Name | ANNE MORRIS BERLIN PHD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3252 HOLIDAY COURT SUITE 110
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City | LA JOLLA
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State | CA
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Zip | 92037
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Country | US
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Telephone | 858-452-2500
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Fax | 858-759-0661
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Provider Business Mailing Address
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Address Line | 3197 VIA DE CABALLO
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City | ENCINITAS
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State | CA
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Zip | 92024
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Country | US
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Telephone | 858-759-9215
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Fax | 858-759-0661
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY9447
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License Number State | CA
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