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NPI 1588771653

NPI 1588771653 : MICHAEL BERG MD : WESLACO, TX

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General NPI Number Information
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    NPI Number           |    1588771653
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL BERG MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/24/2006
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    Last Update Date     |    01/04/2026
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Provider Practice Location Address
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    Address Line         |    1330 E 6TH ST STE 203 
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    City                 |    WESLACO
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    State                |    TX
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    Zip                  |    78596-6608
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    Country              |    US
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    Telephone            |    956-973-5815
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    Fax                  |    956-969-0190
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Provider Business Mailing Address
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    Address Line         |    1401 E 8TH ST 
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    City                 |    WESLACO
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    State                |    TX
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    Zip                  |    78596-6640
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    Country              |    US
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    Telephone            |    956-973-5815
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    Fax                  |    956-969-0190
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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        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    F3683
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    License Number State |    TX
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