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NPI 1548971195

NPI 1548971195 : CHEDVA BERGER : TOMS RIVER, NJ

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General NPI Number Information
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    NPI Number           |    1548971195
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    Entity Type          |    Individual 
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    Provider Name        |    CHEDVA BERGER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2022
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    10 ALLEN ST STE 4-B 
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    City                 |    TOMS RIVER
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    State                |    NJ
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    Zip                  |    08753-7652
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    Country              |    US
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    Telephone            |    732-795-5217
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 748465 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-8465
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    Country              |    US
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    Telephone            |    855-284-7483
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    Fax                  |    617-807-0958
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    44SC06595400
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    License Number State |    NJ
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