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General NPI Number Information
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NPI Number | 1730236514
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Entity Type | Organization
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Legal Business Name | REBEKAH L BERKOWITZ & ASSOC INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 4167 CRESCENT DR STE 103C
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City | SAINT LOUIS
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State | MO
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Zip | 63129-3643
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Country | US
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Telephone | 314-845-0673
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Fax |
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Provider Business Mailing Address
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Address Line | 4167 CRESCENT DR. #103C
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City | SAINT LOUIS
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State | MO
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Zip | 63129-1071
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Country | US
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Telephone | 314-845-0673
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. REBEKAH LOUISE BERKOWITZ
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Credential | LCSW
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Telephone | 314-845-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW000054
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License Number State | MO
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