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General NPI Number Information
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NPI Number | 1619839230
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Entity Type | Individual
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Provider Name | LISA BERGER
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 18425 BURBANK BLVD STE 520
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City | TARZANA
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State | CA
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Zip | 91356-6687
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Country | US
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Telephone | 818-758-2673
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Fax |
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Provider Business Mailing Address
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Address Line | 5334 LINDLEY AVE UNIT 214
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City | ENCINO
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State | CA
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Zip | 91316-2905
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Country | US
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Telephone | 818-758-2673
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 2279
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License Number State | CA
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