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General NPI Number Information
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NPI Number | 1619139532
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Entity Type | Individual
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Provider Name | MARLA ANDREA BERGER LMHC, ATR
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Gender | Female
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 8800 NW 72ND ST
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City | PARKLAND
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State | FL
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Zip | 33067
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Country | US
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Telephone | 561-866-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 4097 NW 22ND ST
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2042
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Country | US
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Telephone | 561-866-3056
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7505
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License Number State | FL
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