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General NPI Number Information
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NPI Number | 1811159809
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Entity Type | Organization
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Legal Business Name | BERG & FLORIO OD PA
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 6406 NORTH IH 35 SUITE 1250
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City | AUSTIN
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State | TX
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Zip | 78752
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Country | US
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Telephone | 512-454-4401
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Fax | 512-458-4018
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Provider Business Mailing Address
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Address Line | 6406 NORTH IH 35 SUITE 1250
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City | AUSTIN
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State | TX
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Zip | 78752
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Country | US
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Telephone | 512-454-4401
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Fax | 512-458-4018
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARAH E BERG
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Credential | OD
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Telephone | 512-454-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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