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General NPI Number Information
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NPI Number | 1669014114
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Entity Type | Individual
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Provider Name | STEVEN CHRISTOPHER BERGER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 150 N EAGLE CREEK DR
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City | LEXINGTON
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State | KY
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Zip | 40509-1805
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Country | US
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Telephone | 859-967-5855
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Fax | 859-967-5522
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Provider Business Mailing Address
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Address Line | 601 DOVE LN
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City | RICHMOND
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State | KY
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Zip | 40475-7525
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Country | US
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Telephone | 859-624-1559
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0006210
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 011628
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License Number State | KY
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