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General NPI Number Information
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NPI Number | 1477562916
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Entity Type | Organization
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Legal Business Name | BERKSHIRE THERAPY WORKS, INC.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 279 DALTON AVE
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City | PITTSFIELD
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State | MA
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Zip | 01201-3540
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Country | US
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Telephone | 413-442-7337
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Fax | 413-447-3882
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Provider Business Mailing Address
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Address Line | 279 DALTON AVE
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City | PITTSFIELD
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State | MA
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Zip | 01201-3540
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Country | US
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Telephone | 413-442-7337
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Fax | 413-447-3882
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Authorized Official
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Title or Position | PRESIDENT, PRACTICE OWNER
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Name | MS. ELIZABETH E LEWIS-KELLOGG
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Credential | PT
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Telephone | 413-442-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11063
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License Number State | MA
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