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General NPI Number Information
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NPI Number | 1235126145
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Entity Type | Organization
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Legal Business Name | BERKSHIRE RADIOLOGICAL ASSOC
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 501 STATE RTE 20
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City | NEW LEBANON
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State | NY
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Zip | 12125-0417
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Country | US
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Telephone | 518-794-7216
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Fax | 518-794-0180
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Provider Business Mailing Address
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Address Line | PO BOX 417
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City | NEW LEBANON
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State | NY
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Zip | 12125-0417
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Country | US
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Telephone | 518-794-7216
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Fax | 518-794-0180
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. DEBBIE CAHILL
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Credential |
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Telephone | 518-794-7216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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