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General NPI Number Information
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NPI Number | 1861577553
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Entity Type | Individual
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Provider Name | BERGINA BRICKHOUSE ISBELL MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 3355 SAINT JOHNS LN STE F
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2600
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Country | US
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Telephone | 507-533-5433
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Fax | 844-511-6928
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Provider Business Mailing Address
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Address Line | PO BOX 6500
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City | COLUMBIA
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State | MD
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Zip | 21045-6500
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Country | US
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Telephone | 507-533-5441
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Fax | 844-511-6928
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301113664
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 49112
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD039796
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD437961
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C150811
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D83609
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License Number State | MD
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