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General NPI Number Information
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NPI Number | 1942593967
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Entity Type | Individual
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Provider Name | ANDREW MICHAEL BERGER CNP
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Gender | Male
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 6000 LOMBARDO CTR STE 130
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City | SEVEN HILLS
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State | OH
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Zip | 44131-6906
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Country | US
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Telephone | 216-478-9208
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Fax |
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Provider Business Mailing Address
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Address Line | 2224 HARRIS RD
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-2633
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Country | US
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Telephone | 216-533-6886
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.12357-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.12357
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.338659
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License Number State | OH
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