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General NPI Number Information
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NPI Number | 1972053346
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Entity Type | Individual
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Provider Name | ASHLEY BERKENHOFF RPSGT
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Gender | Female
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | 3613 WILLIAMS DR BUILDING 10, SUITE 1003
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City | GEORGETOWN
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State | TX
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Zip | 78628-1377
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Country | US
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Telephone | 512-686-6121
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Fax |
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Provider Business Mailing Address
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Address Line | 3613 WILLIAMS DR BUILDING 10, SUITE 1003
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City | GEORGETOWN
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State | TX
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Zip | 78628-1377
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Country | US
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Telephone | 512-686-6121
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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 | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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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 | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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