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General NPI Number Information
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NPI Number | 1700891413
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Entity Type | Organization
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Legal Business Name | BERKO PSYCHOLOGICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 6575 ASHTON LN
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City | SOLON
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State | OH
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Zip | 44139-3213
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Country | US
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Telephone | 440-668-8564
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Fax | 877-844-4869
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Provider Business Mailing Address
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Address Line | PO BOX 391057
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City | SOLON
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State | OH
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Zip | 44139-8057
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Country | US
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Telephone | 440-668-8564
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Fax | 877-844-4869
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC H BERKO
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Credential | PHD
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Telephone | 440-668-8564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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