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General NPI Number Information
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NPI Number | 1851499396
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Entity Type | Individual
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Provider Name | CYNTHIA A BERG M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2822 S ALAFAYA TRL SUITE 170
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City | ORLANDO
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State | FL
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Zip | 32828-7969
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Country | US
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Telephone | 321-277-5150
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Fax | 407-207-8090
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Provider Business Mailing Address
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Address Line | 1838 BRANCHWATER TRL
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City | ORLANDO
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State | FL
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Zip | 32825-8510
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Country | US
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Telephone | 407-281-6329
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Fax | 407-207-8090
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA7307
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License Number State | FL
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