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General NPI Number Information
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NPI Number | 1285028050
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Entity Type | Organization
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Legal Business Name | BERARDINO AND PFISTERER INC
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 131 OXFORD ROAD
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City | NEW HARTFORD
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-797-1115
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Fax | 315-797-3883
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Provider Business Mailing Address
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Address Line | 131 OXFORD ROAD
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City | NEW HARTFORD
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-797-1115
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Fax | 315-797-3883
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | TAMI ANN PFISTERER
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Credential | REGISTERED NURSE
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Telephone | 315-797-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2111L001
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License Number State | NY
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