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General NPI Number Information
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NPI Number | 1740538925
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Entity Type | Individual
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Provider Name | SARAH ROZEMAN BERG M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 108 WATERVIEW PKWY
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City | BOERNE
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State | TX
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Zip | 78006-2885
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Country | US
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Telephone | 210-653-5501
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 CENTRAL PKWY S STE 400
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City | SAN ANTONIO
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State | TX
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Zip | 78232-5057
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Country | US
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Telephone | 210-653-5501
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | Q3332
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License Number State | TX
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