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General NPI Number Information
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NPI Number | 1679252654
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Entity Type | Individual
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Provider Name | LAUREN BERGER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 16355 CORVINO CT
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2327
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Country | US
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Telephone | 518-527-6559
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Fax |
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Provider Business Mailing Address
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Address Line | 16355 CORVINO CT
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2327
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Country | US
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Telephone |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 022016
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY10167
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License Number State | FL
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