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General NPI Number Information
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NPI Number | 1831788769
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Entity Type | Organization
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Legal Business Name | BRITTANY L BERGER
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 3610 MYSTIC VALLEY PKWY APT N1411
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City | MEDFORD
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State | MA
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Zip | 02155-5753
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Country | US
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Telephone | 914-497-6939
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 MYSTIC VALLEY PKWY APT N1411
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City | MEDFORD
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State | MA
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Zip | 02155-5753
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Country | US
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Telephone | 914-497-6939
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN/ OWNER
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Name | MS. BRITTANY BERGER
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Credential | MS, RD, LDN
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Telephone | 914-497-6939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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