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General NPI Number Information
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NPI Number | 1093798415
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Entity Type | Organization
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Legal Business Name | BERKSHIRE PEDIATRIC ASSOCIATES PC
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 777 NORTH ST STE 305 BERKSHIRE PEDIATRIC ASSOCIATES PC
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City | PITTSFIELD
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State | MA
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Zip | 01201-4172
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Country | US
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Telephone | 413-499-8531
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Fax | 413-499-8560
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Provider Business Mailing Address
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Address Line | 777 NORTH ST STE 305 BERKSHIRE PEDIATRIC ASSOCIATES PC
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City | PITTSFIELD
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State | MA
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Zip | 01201-4172
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Country | US
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Telephone | 413-499-8531
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Fax | 413-499-8560
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Authorized Official
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Title or Position | MD PRESIDENT
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Name | DR. RICHARD S ROSENFELD
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Credential | MD
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Telephone | 413-499-8534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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