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General NPI Number Information
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NPI Number | 1801476528
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Entity Type | Organization
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Legal Business Name | BERMAN COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 6145 PARK SQUARE DR STE D
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City | LORAIN
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State | OH
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Zip | 44053-4146
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Country | US
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Telephone | 216-282-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 6008 EASTVIEW AVE
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-1546
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Country | US
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Telephone | 216-282-7893
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Fax |
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Authorized Official
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Title or Position | BILLING AND ENROLLMENTS
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Name | AMY WAGNER
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Credential |
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Telephone | 215-964-0335
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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 |
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License Number State |
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